SUTTER LAKESIDE COMMUNITY HEALTH CENTER
NPI 1629301775
Clinic/Center - Rural Health in Upper Lake, CA

NPI Status: Active since September 08, 2009

Contact Information

750 OLD LUCERNE ROAD
UPPER LAKE, CA
ZIP 95485
Phone: (707) 275-9066
Fax: (707) 275-9070

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  • Organization
  • Clinic/Center
  • Rural Health

About SUTTER LAKESIDE COMMUNITY HEALTH CENTER

Sutter Lakeside Community Health Center is a primary care provider established in Upper Lake, California operating as a Clinic/center with a focus 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 2 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
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 .

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:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRIAN TRENT HUNTER

Authorized Official Title
VP SHARED SERVICES
Authorized Official Phone
(916) 297-8555

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
RKY18547FMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629301775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649602714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 6 + 0 + 2 + 7 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1629301775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629301775, enumerated in the NPI registry 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

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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