Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Prompt Care Indian Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
ANDREW D. JAHN (CEO)
(209) 536-5011
Entity
Organization
Contact information
Practice address
14540 MONO WAY, SONORA, CA 95370-8858
(209) 532-3167
(209) 533-7696
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-2760
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65514Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
11/01/2005
Last updated
09/28/2016
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