# SONORA COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SONORA COMMUNITY HOSPITAL
- **Other names:** Long Term Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801887401
- **Legal business name:** SONORA COMMUNITY HOSPITAL
- **Authorized official:** ANDREW D. JAHN (VICE PRESIDENT FOR FINANCE)
- **Authorized official phone:** (209) 536-5011

## Contact information

- **Practice address:** 1000 GREENLEY RD, SONORA, CA 95370-5200
- **Practice address phone:** (209) 536-3859
- **Practice address fax:** (209) 533-7696
- **Mailing address:** 14542 LOLLY LN, SONORA, CA 95370-9226
- **Mailing address phone:** (209) 536-3900
- **Mailing address fax:** (209) 533-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 04/08/2013