Sutter Amador Tcu

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

SUTTER AMADOR TCU

Practice address

200 Mission Blvd
Jackson, CA 95642-2564

Phone

(800) 353-3369

NPI assigned

Oct 25, 2006

Organization subpart

Yes

Parent organization

SUTTER AMADOR HOSPITALAs reported in NPPES

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

Authorized official

Name

Margie Souza

Title

Cbo Director

Phone

(916) 978-8701

Specialties & licenses 1

Addresses

Part of

Sutter Amador Hospital

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1558445338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160100",
            "telephone_number": "800-353-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSION BLVD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422564",
            "telephone_number": "800-353-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER AMADOR TCU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER AMADOR HOSPITAL",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "CBO DIRECTOR",
        "authorized_official_telephone_number": "916-978-8701"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Stogner, RN, CDE
• David J Stone, M.D.
• Latha Sunil Kumar, M.D
• Amber Susich
• Sutter Amador Surgery Center LLC (Sutter Amador Surgery Center)
• Sutter Valley Hospitals
• Sutter Valley Hospitals (Sutter Amador Hospital)
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
• Deon Lynn Tadlock, M.D.
• Felicia Tang

• General Acute Care Hospital in Jackson, CA
• Providers in Jackson, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.