| Organization Name: | SONORA COMMUNITY HOSPITAL |
| NPI Number: | 1063403129 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW D. JAHN (VICE PRESIDENT FOR FINANCE) |
| Mailing Address: | 650 Pauline Ct Sonora |
| State: | CA US |
| Postal Code: | 953705210 |
| Phone Number: | 2095325154 |
| Fax Number: | 2095337696 |
| NPI Enumeration Date: | 10/28/2005 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |