Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Forest Road Health & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
GREGORY D MCCULLOCH (CEO)
(209) 536-5011
Entity
Organization
Contact information
Practice address
193 FAIRVIEW LN, SONORA, CA 95370-4828
(209) 536-5100
(209) 536-5108
Mailing address
PO BOX 398852, SAN FRANCISCO, CA 94139-8852
(209) 536-3900
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us