Sonora Community Hospital
General Practice in Sonora, CA. Organization (NPI-2).
NPI number1063403129
StatusActive
Last updated in NPPESApr 2, 2013
Details
- NPI
- 1063403129
- Entity type
- Organization (NPI-2)
- Legal business name
- Sonora Community Hospital
- Organization subpart
- Yes
- Enumeration date
- Oct 28, 2005
- Last updated
- Apr 2, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- Foothill Primary Care (Doing Business As)
Practice location
650 Pauline CtSonora, CA 95370-5210
Phone 209-532-5154 · Fax 209-533-7696
Mailing address
14542 Lolly LnSonora, CA 95370-9226
Phone 209-536-3900 · Fax 209-533-7696
Authorized official
Andrew D. Jahn
Vice President For Finance
2095365011
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