Sutter Pacific Medical Foundation
LBN: Sutter West Bay Medical Foundation
Sutter Pacific Medical Foundation is an health care organization with primary practice located at 3006 S Maryland Pkwy #470, Las Vegas NV 89109-2218. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Sutter West Bay Medical Foundation can be contacted via phone (702) 796-9111, or through Gates, John via phone (415) 600-7755.
Contact Information
Primary practice address
3006 S Maryland Pkwy #470
Las Vegas NV 89109-2218
Phone: (702) 796-9111
Fax: (702) 792-9112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1619101912 |
|---|---|
| LBN Legal business name | Sutter West Bay Medical Foundation |
| DBA Doing business as | Sutter Pacific Medical Foundation |
| Authorized official | Gates, John |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2009 |
| Last updated | Sep 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619101912 | NPPES |
| Nevada | MEDICAID | 100511636 RENO | |
| Nevada | MEDICAID | 100511635 LAS VEGAS |
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