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Organization

SONORA COMMUNITY HOSPITAL

Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Foothill Primary Care
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
650 PAULINE CT, SONORA, CA 95370-5210
(209) 532-5154
(209) 533-7696
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-3900
(209) 533-7696

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ52952Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
10/28/2005
Last updated
04/02/2013
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