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Organization
SONORA COMMUNITY HOSPITAL
Active
Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Sonora Regional Home Helath
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
ANDREW D. JAHN (VICE PRESIDENT FOR FINANCE)
(209) 536-5011
Entity
Organization
Contact information
Practice address
20100 CEDAR RD N, SONORA, CA 95370-5925
(209) 536-3800
(209) 533-7696
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-2760
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ61680Z
BLUE CROSS/BLUE SHIELD
CA
01
—
ZZZC5502Z
BLUE CROSS / BLUE SHIELD
CA
Enumeration date
10/31/2005
Last updated
03/29/2013
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