Organization
SONORA COMMUNITY HOSPITAL
Active
Other names
Hospice Of The Sierra
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L. LARSEN (VICE PRESIDENT FOR FINANCE)
(209) 536-5011
Entity
Organization
Contact information
Practice address
20100 CEDAR RD N, SONORA, CA 95370-5925
(209) 536-5700
(209) 532-3238
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-2925
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
100000558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000558
LICENSE
CA
Enumeration date
07/22/2009
Last updated
07/22/2009
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