Active NPI
Sutter Lakeside Hospital
- Medicare Defined Swing Bed Hospital Unit
- Lakeport, CA
National Provider Identifier
1629089875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- SUTTER LAKESIDE HOSPITAL
- Practice address
- 5176 Hill Rd E
Lakeport, CA 95453-6300 - Phone
- (707) 262-5000
- Fax
- (707) 262-5018
- NPI assigned
- Aug 11, 2006
- Last updated
- Aug 14, 2008
- Organization subpart
- Yes
- Parent organization
- SUTTER LAKESIDE HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Mather
- Title
- Ceo
- Phone
- (707) 262-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | CA | Primary |
Addresses
Primary practice location
5176 Hill Rd E
Lakeport, CA 95453-6300
Mailing address
5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000
National Provider Directory
National Provider Directory- Part of
- Sutter Lakeside Womens
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1629089875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5176 HILL RD E",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536300",
"telephone_number": "707-262-5000",
"fax_number": "707-262-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5176 HILL RD E",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536300",
"telephone_number": "707-262-5000",
"fax_number": "707-262-5018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER LAKESIDE HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER LAKESIDE HOSPITAL",
"enumeration_date": "2006-08-11",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "MATHER",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-262-5001"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
- Sutter Lakeside Home Medical Services
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital (Sutter Lakeside Hospital Mobile Health Clinic)
- Sutter Lakeside Hospital
- Sutter Medical Group of the Redwoods
- Sutter Medical Group of the Redwoods
- Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
- Sutter West Bay Hospitals (Sutter Lakeside Hospital Mobile Health Clinic)
- Sutter West Bay Hospitals (Lakeside Family Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.