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COUNTY OF TUOLUMNE

Long Term Care Hospital

Sonora, California

Provider NPI: 1134247224

Organization Information:
Organization Name:  COUNTY OF TUOLUMNE


Practice Location:
101 HOSPITAL RD TGH ML FAC - LTC SONORA, CA 95370 US
Tel: 209-533-7100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
CA

Other Provider Identifiers:

IssuerNumberStateType
LTC05235FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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