SUTTER COAST COMMUNITY CLINIC
NPI 1700960267
General Practice in Crescent City, CA
About Sutter Coast Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUTTER COAST COMMUNITY CLINIC (NPI 1700960267) is a healthcare organization registered as a general practice in Crescent City, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Mitch Hanna, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sutter Coast Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Sutter Coast Community Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 36Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1061960
Sutter Coast Community Clinic · Crescent City, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sutter Coast Hospital's NPI number?
The NPI number for Sutter Coast Hospital is 1700960267. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Sutter Coast Community Clinic.
Where is Sutter Coast Hospital located?
Sutter Coast Hospital is located at 780 E Washington Blvd Suite 202, Crescent City, CA 95531. The listed phone number is (707) 464-6715.
What is Sutter Coast Hospital's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Sutter Coast Hospital enrolled in Medicare?
Yes. Sutter Coast Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sutter Coast Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 16 Medicare specialties reassign their Medicare billing to Sutter Coast Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Nurse Practitioner (5) and Internal Medicine (4). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sutter Coast Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1061960) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sutter Coast Hospital was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sutter Coast Community Clinic · NPI 1700960267
General Practice organization in Crescent City, California. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1700960267 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Sutter Coast Hospital
- **Organization subpart:** Yes (part of Sutter Coast Hospital)
- **Authorized official:** Mitch Hanna, CEO
## Practice location
- **Address:** 780 E WASHINGTON BLVD, SUITE 202, Crescent City, CA 95531-8397
- **Phone:** (707) 464-6715 · **Fax:** (707) 465-0870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (5), Internal Medicine (4); 3 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1700960267/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700960267) · Data from the CMS NPPES public registry.