Irc-Sutter Health Jackson LLC
Irc-Sutter Health Jackson LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, CA, holding Type 2 (organization) NPI 1124893615 since 2023. The authorized official on file is Sara Brady, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124893615 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Irc-Sutter Health Jackson LLC |
| Other name | <Unavail> |
| Practice address | 12030 INDUSTRY BLVD, Jackson, CA, 95642 |
| Phone | 2092733060 |
| Fax | 2092733374 |
| Enumeration date | 2023-11-15 |
| Last updated in NPPES | 2024-01-23 |
Authorized official
| Name | Sara Brady |
|---|---|
| Title | Authorized Official |
| Phone | 2083717878 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Irc-Sutter Health Jackson LLC NPI: 1124893615 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 12030 INDUSTRY BLVD, Jackson, CA, 95642
Verify this record
Cross-check NPI 1124893615 against the authoritative CMS record: view Irc-Sutter Health Jackson LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Irc-Sutter Health Jackson LLC?
What is the NPI number for Irc-Sutter Health Jackson LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-23.