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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
101 HOSPITAL RD TGH ML FAC - LTC SONORA, CA 95370 US
Tel: 209-533-7100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC05235F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin