Organization Active NPI

Tuolumne General Hospital Phcy

  • Long Term Care Pharmacy
  • Sonora, CA
National Provider Identifier
1285657130
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TUOLUMNE GENERAL HOSPITAL PHCY
Practice address
101 Hospital Rd
Sonora, CA 95370-5227
Phone
(702) 533-7103
Fax
(702) 533-7293
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne Hebert
Title
Chief Financial Officer
Phone
(209) 533-7135

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X HPE46824 CA
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

101 Hospital Rd
Sonora, CA 95370-5227

Mailing address

101 Hospital Rd
Sonora, CA 95370-5227

Other identifiers 2

IdentifierTypeStateIssuer
LTC05235FMedicaidCA
0548163OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Tuolumne County39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285657130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705227",
            "telephone_number": "702-533-7103",
            "fax_number": "702-533-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUOLUMNE GENERAL HOSPITAL PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-533-7135"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "HPE46824",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05235F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0548163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.