Sonora Community Hospital
Organization Active NPI Oxygen Equipment & Supplies (DME) · Sonora, CA
NPI 1376575852 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1376575852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 102513 (CA)
- Legal business name
- SONORA COMMUNITY HOSPITAL
- 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
- Organization subpart
- No
Authorized official
- Name
- Gregory McCulloch
- Title
- Finance Executive
- Phone
- (209) 536-5019
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930027220 | CA | DME Supplier - Medical Supply Company With Respiratory Therapist |
1557480050 | Practice locations: Sonora, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 102513 | CA | Yes |
Addresses
Primary practice location
220 W Stockton St Ste B
Sonora, CA 95370-4951
Mailing address
358 W Stockton St
Sonora, CA 95370-4950
Phone (209) 536-3760
Other names
- Adventist Health Sonora Oxygen and Medical Supply
Other providers in Sonora, CA
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
- Sonora Community Hospital
All providers in Sonora, CA · Oxygen Equipment & Supplies (DME) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.