Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Transitional Care Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
ANDREW D. JAHN (VICE PRESIDENT FOR FINANCE)
(209) 536-5011
Entity
Organization
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-3859
(209) 533-7696
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-3900
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZC5502Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
11/02/2005
Last updated
04/08/2013
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