Healthcare Provider Details

I. General information

NPI: 1689460891
Provider Name (Legal Business Name): COUNTY OF TUOLUMNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20075 CEDAR RD N
SONORA CA
95370-5900
US

IV. Provider business mailing address

20075 CEDAR RD N
SONORA CA
95370-5900
US

V. Phone/Fax

Practice location:
  • Phone: 209-533-7382
  • Fax:
Mailing address:
  • Phone: 209-533-7382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNIE HOCKETT
Title or Position: DIR. HEALTH AND HUMAN SERVICES
Credential:
Phone: 209-533-5711