SUTTER LAKESIDE COMMUNITY HEALTH CENTER
NPI 1629301775
Clinic/Center - Rural Health in Upper Lake, CA
- Organization
- Clinic/Center
- Rural Health
About SUTTER LAKESIDE COMMUNITY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Sutter Lakeside Community Health Center, a primary care provider established in Upper Lake, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1629301775 assigned on September 2009. The practitioner's primary taxonomy code is 261QR1300X with license number 110000094 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Sutter Lakeside Community Health Center. The authorized official of this NPI record is Mr. Brian Trent Hunter (Vp Shared Services)
- NPI
- 1629301775 Verify this NPI
- Provider Legal Name
- SUTTER WEST BAY HOSPITALS
- Other Organization Name
- SUTTER LAKESIDE COMMUNITY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 750 OLD LUCERNE ROAD UPPER LAKE, CA 95485
- Location Phone
- (707) 275-9066
- Location Fax
- (707) 275-9070
- Mailing Address
- PO BOX 742412 LOS ANGELES, CA 90074
- Mailing Phone
- (415) 600-7120
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2009
- Last Update Date
- 01-20-2022
- Code Navigator
A primary care provider (PCP) like Sutter Lakeside Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 110000094
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| RKY18547F | MEDICAID (05) | CA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629301775, enumerated as an "organization" on September 08, 2009.
The provider is located at 750 OLD LUCERNE ROAD UPPER LAKE, CA 95485 and the phone number is (707) 275-9066.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
