Sutter Bay Hospitals
Doing business as Sutter Lakeside Medical Practice
Rural health clinic in Lakeport, CA, Medicare certification number 553994.
Medicare certification
Provider of Services- CCN
- 553994
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Oct 13, 1994
- Last certification
- Jul 21, 2014
- Most recent change of ownership
- Jan 1, 2010 (1 total)
- Address
- 987 Parallel Drive Suite C
Lakeport, CA 95453
(707) 262-5088
NPI records for this facility (CCN to NPI Mapping) 1
-
- Rural Health Clinic/Center
- Lakeport, CA
- NPI 1770816829
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.