Greenley Primary Care

LBN: Sonora Community Hospital
Greenley Primary Care is an health care organization with primary practice located at 19747 Greenley Rd Suite S-2, Sonora CA 95370-5998. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sonora Community Hospital can be contacted via phone (209) 536-2665, or through Jahn, Andrew D. via phone (209) 536-5011.

Contact Information

Primary practice address
19747 Greenley Rd Suite S-2 Sonora CA 95370-5998
Phone: (209) 536-2665
Fax: (209) 533-7696
Website:
Map and Directions
Authorized official contact:
Name: Jahn, Andrew D.
Phone: (209) 536-5011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030000094 California

Profile Details

NPI number 1033100854
LBN Legal business name Sonora Community Hospital
DBA Doing business as Greenley Primary Care
Authorized official Jahn, Andrew D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2005
Last updated Sep 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033100854 NPPES
California Other ZZZ52953Z BLUE CROSS/BLUE SHIELD

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