SONORA COMMUNITY HOSPITAL NPI 1003014952

NPI Information

NPI: 1003014952
Provider Name: SONORA COMMUNITY HOSPITAL

Doing Business As: FOREST ROAD HEALTH & WELLNESS CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
193 FAIRVIEW LN
SONORA, CA
ZIP 95370
Phone: (209) 536-5100
Get Directions

SONORA COMMUNITY HOSPITAL is a rural health clinic center in Sonora, CA. SONORA COMMUNITY HOSPITAL NPI is 1003014952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Forest Road Health & Wellness Center.

The provider's business location address is:

193 FAIRVIEW LN
SONORA, CA
ZIP 95370-828
Phone: (209) 536-5100
Fax: (209) 536-5108

The provider's authorized official is Gregory D Mcculloch .
The authorized official title is Ceo and has the following contact phone number (209) 536-5011.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	122300000X	Dentist		No
3	207N00000X	Dermatology		No
4	207P00000X	Emergency Medicine		No
5	207Q00000X	Family Medicine		No
6	207R00000X	Internal Medicine		No
7	207RG0100X	Internal Medicine	Gastroenterology	No
8	207RP1001X	Internal Medicine	Pulmonary Disease	No
9	207V00000X	Obstetrics & Gynecology		No
10	207X00000X	Orthopaedic Surgery		No
11	207Y00000X	Otolaryngology		No
12	208000000X	Pediatrics		No
13	208600000X	Surgery		No
14	261QR1300X	Clinic/Center	Rural Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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