# PALM DRIVE HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sonoma West Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508891649
- **Authorized official:** ALANNA BROGAN MS,RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 823-3682

## Contact information

- **Practice address:** 501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
- **Practice address phone:** (707) 823-8511
- **Practice address fax:** (707) 829-4141
- **Mailing address:** 612 PETALUMA AVE, SEBASTOPOL, CA 95472
- **Mailing address phone:** (707) 823-3682
- **Mailing address fax:** (707) 829-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 110000091 | CA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 03/17/2016