NPIMap

Organization Active NPI

Sutter Central Valley Hospitals

Doing business as Sutter Tracy Community Hospital

  • Institutional Pharmacy
  • Tracy, CA
National Provider Identifier
1508105354
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
HSP49989 Issued in CA
Legal business name
SUTTER CENTRAL VALLEY HOSPITALS
Doing business as
Sutter Tracy Community Hospital
Practice address
1420 N. Tracy Blvd.
Tracy, CA 95376
Phone
(209) 832-6004
Fax
(209) 832-6599
NPI assigned
Feb 13, 2013
Organization subpart
Yes
Parent organization
SUTTER CENTRAL VALLEY HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David M. Thompson
Title
Ceo
Phone
(209) 832-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X HSP49989 CA Primary

Addresses

Primary practice location

1420 N. Tracy Blvd.
Tracy, CA 95376

Mailing address

1420 N. Tracy Blvd.
Tracy, CA 95376

Other names 1

  • Sutter Tracy Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital6 organizations share this tax ID, including this one
Part of
Memorial Hospital

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1508105354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N. TRACY BLVD.",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N. TRACY BLVD.",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-832-6004",
            "fax_number": "209-832-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER CENTRAL VALLEY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER CENTRAL VALLEY HOSPITALS",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-832-6050"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "HSP49989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Tracy Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.