Organization
COUNTY OF TUOLUMNE
Active
Other names
Tuolumne General Hospital Mother Lode Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M WILSON (CEO)
(209) 533-7144
Entity
Organization
Contact information
Practice address
20044 CEDAR RD N, TGH ME GRP - MLMC, SONORA, CA 95370-5900
(209) 694-2600
Mailing address
101 HOSPITAL RD, NPI COORDINATOR, SONORA, CA 95370-5227
(209) 694-2600
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ17594Z
NHIC
CA
Enumeration date
08/07/2006
Last updated
08/22/2020
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