Sutter Trauma Assessment Team

LBN: Sutter Trauma Assessment Team
Sutter Trauma Assessment Team is an health care organization with primary practice located at 3325 Chanate Rd , Santa Rosa CA 95404-1707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Sutter Trauma Assessment Team can be contacted via phone (707) 578-2480, or through Kosakowski, Chris A via phone (707) 578-2480.

Contact Information

Primary practice address
3325 Chanate Rd Santa Rosa CA 95404-1707
Phone: (707) 578-2480
Fax: (707) 591-0224
Website:
Map and Directions
Authorized official contact:
Name: Kosakowski, Chris A Doctor of Medicine (MD)
Phone: (707) 578-2480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1811932619
LBN Legal business name Sutter Trauma Assessment Team
DBA Doing business as
Authorized official Kosakowski, Chris A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811932619 NPPES
California MEDICAID GR0089850

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