Organization
PALM DRIVE HEALTH CARE DISTRICT
Active
Other names
Sonoma West Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA BROGAN MS,RN (EXECUTIVE DIRECTOR)
(707) 823-3682
Entity
Organization
Contact information
Practice address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
(707) 829-4141
Mailing address
612 PETALUMA AVE, SEBASTOPOL, CA 95472
(707) 823-3682
(707) 829-4141
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9647041
—
CA
05
—
ZZR00385I
—
CA
Enumeration date
07/11/2006
Last updated
03/17/2016
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