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SONORA COMMUNITY HOSPITAL NPI 1154656486


NPI Information

NPI: 1154656486
Provider Name: SONORA COMMUNITY HOSPITAL

Doing Business As: CENTER FOR WOUND CARE AND HYPERBARIC SERVICES

Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
12811 COVEY CIR
SONORA, CA
ZIP 95370
Phone: (209) 536-5180
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SONORA COMMUNITY HOSPITAL is an undersea and hyperbaric medicine preventive medicine in Sonora, CA. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. SONORA COMMUNITY HOSPITAL NPI is 1154656486. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Wound Care And Hyperbaric Services.

The provider's business location address is:

12811 COVEY CIR
SONORA, CA
ZIP 95370-935
Phone: (209) 536-5180
Fax: (209) 536-3509

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

The enumeration date for this NPI number is 10/5/2009 and was last updated on 9/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1050335MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 4/28/2024

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