Sonora Community Hospital

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

102513 Issued in CA

Legal business name

SONORA COMMUNITY HOSPITAL

Doing business as

Adventist Health Sonora Oxygen and Medical Supply

Practice address

220 W Stockton St Ste B
Sonora, CA 95370-4951

Phone

(209) 536-3760

Fax

(209) 536-3744

NPI assigned

Jul 7, 2006

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory McCulloch

Title

Finance Executive

Phone

(209) 536-5019

Specialties & licenses 1

Addresses

Other names 1

• Adventist Health Sonora Oxygen and Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1376575852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 W STOCKTON ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704950",
            "telephone_number": "209-536-3760",
            "fax_number": "209-532-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W STOCKTON ST STE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704951",
            "telephone_number": "209-536-3760",
            "fax_number": "209-536-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "FINANCE EXECUTIVE",
        "authorized_official_telephone_number": "209-536-5019"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "102513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Sonora Oxygen and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Sonora Oxygen and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonora Community Hospital (Forest Road Health & Wellness Center)
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• Sonora Community Hospital (Foothill Primary Care)
• Sonora Community Hospital (Sierra Family Practice)
• Sonora Community Hospital
• Sonora Community Hospital (Hospice Of The Sierra)
• Sonora Community Hospital (Sonora Regional Home Helath)
• Sonora Community Hospital (Sierra Vascular Clinic)
• Sonora Community Hospital

• Oxygen Equipment & Supplies (DME) in Sonora, CA
• Providers in Sonora, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.