NPIMap

Organization Active NPI

County of Tuolumne

Doing business as Mother Lode Medical Center

  • General Acute Care Hospital
  • Sonora, CA
National Provider Identifier
1659404911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
COUNTY OF TUOLUMNE
Doing business as
Mother Lode Medical Center
Practice address
20044 Cedar Rd N
TGH ML GRP - MLMC
Sonora, CA 95370-5900
Phone
(209) 533-7100
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John M Wilson
Title
Ceo
Phone
(209) 533-7144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CA Primary

Addresses

Primary practice location

20044 Cedar Rd N
TGH ML GRP - MLMC
Sonora, CA 95370-5900

Mailing address

20044 Cedar Rd N
Npi Coordinator
Sonora, CA 95370-5900
Phone (209) 533-7100

Other identifiers 1

IdentifierTypeStateIssuer
GR0080930MedicaidCA

Other names 1

  • MOTHER LODE MEDICAL CENTER Doing business as

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659404911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20044 CEDAR RD N",
            "address_2": "NPI COORDINATOR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705900",
            "telephone_number": "209-533-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20044 CEDAR RD N",
            "address_2": "TGH ML GRP - MLMC",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705900",
            "telephone_number": "209-533-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TUOLUMNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-533-7144"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTHER LODE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.