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Organization

SONORA COMMUNITY HOSPITAL

Active
Other names
Adventist Health Sonora Oxygen and Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY MCCULLOCH (FINANCE EXECUTIVE)
(209) 536-5019
Entity
Organization

Contact information

Practice address
220 W STOCKTON ST STE B, SONORA, CA 95370-4951
(209) 536-3760
(209) 536-3744
Mailing address
358 W STOCKTON ST, SONORA, CA 95370-4950
(209) 536-3760
(209) 532-0721

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
102513
CA

Other

Enumeration date
07/07/2006
Last updated
05/19/2020
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