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SUTTER COAST COMMUNITY CLINIC
NPI 1700960267
General Practice in Crescent City, CA

Active since October 24, 2006CLIA 05D1061960 · Waiver
780 E WASHINGTON BLVD, SUITE 202, CRESCENT CITY, CA 95531(707) 464-6715(707) 465-0870 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1700960267
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUTTER COAST HOSPITAL
Location Address780 E WASHINGTON BLVD, SUITE 202Crescent City, CA 95531-8397
Mailing Address800 E Washington BlvdCrescent City, CA 95531-8359 · (707) 464-8511 · Fax (707) 464-8886
Phone(707) 464-6715
Fax(707) 465-0870
Organization SubpartYes
Authorized OfficialMitch HannaCeo · (707) 464-8880
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 10, 2016
✔ NPI 1700960267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
780 E WASHINGTON BLVD, Crescent City, CA 95531
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Other Names 1

Doing Business AsSutter Coast Community Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CA
Active · expires Feb 28, 2028
CLIA Number05D1061960
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorCourney P. Ridley MD
Laboratory Phone(707) 464-5974
Laboratory LocationSutter Coast Community Clinic780 E Washington Blvd, Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN LEE ZAGONE M.D.
Urology
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
SUSAN BRALLIER DO
Pediatrics
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
ELIE M HOBEIKA MD
Obstetrics & Gynecology
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
MARGO M PFUNDER CNM
Advanced Practice Midwife
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6175
SRS-CRESCENT CITY, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
780 E WASHINGTON BLVD, BUILDING B
CRESCENT CITY, CA 95531
Del Norte County (615) 467-0140
SUTTER COAST HOSPITAL
Orthopaedic Surgery
780 E WASHINGTON BLVD, SUITE 105
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
JESYKA D. L. GARLICH PA-C
Physician Assistant
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
MR. JAI CHAND AUTAR M.D.
Pediatrics
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715

Frequently 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.

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 9 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.