Healthcare Provider Details

I. General information

NPI: 1710063870
Provider Name (Legal Business Name): SONOMA VALLEY HEALTH CARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 ANDRIEUX ST
SONOMA CA
95476-6811
US

IV. Provider business mailing address

347 ANDRIEUX ST
SONOMA CA
95476-6811
US

V. Phone/Fax

Practice location:
  • Phone: 707-935-5000
  • Fax:
Mailing address:
  • Phone: 707-935-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number110000072
License Number StateCA

VIII. Authorized Official

Name: JOHN HENNELLY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 707-935-5000