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NPI Code Detail

MEDICARE: SONORA COMMUNITY HOSPITAL

MEDICARE: SONORA COMMUNITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1801887401
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONORA COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 14542 LOLLY LN
Second Line :
City : SONORA
State : CA
Zip : 95370-9226
Country : US
Telephone Number : 209-536-3900
Fax Number : 209-533-7696
Provider Business Practice Location Address
First Line : 1000 GREENLEY RD
Second Line :
City : SONORA
State : CA
Zip : 95370-5200
Country : US
Telephone Number : 209-536-3859
Fax Number : 209-533-7696
Authorized Official
Title or Position : VICE PRESIDENT FOR FINANCE
Name : ANDREW D. JAHN
Credential :
Telephone Number : 209-536-5011
Provider Enumeration Date : 11/02/2005
Last Update Date : 04/08/2013

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Directions to “SONORA COMMUNITY HOSPITAL ” Practice Location

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