SONOMA HEALTH INSTITUTE PC


Address: 1240 Mayacama Club Dr, Santa Rosa, CA 95403-8251
Phone: 7075692972

SONOMA HEALTH INSTITUTE PC (NPI# 1336467679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336467679
Entity Type Organization
Organization Name SONOMA HEALTH INSTITUTE PC
Other Organization Name SALUS AT MAYACAMA
Practice Address 1240 Mayacama Club Dr
Santa Rosa
CA 95403-8251
Practice Telephone 7075692972
Practice Fax Number 7075286725
Mailing Telephone 7075692972
Mailing Fax Number 7075286725
Enumeration Date 2010-05-11
Last Update Date 2010-05-11
Authorized Official Name DR. HENRY GRAUSZ (PRESIDENT)
Authorized Official Telephone 7075692976
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Salus at Mayacama Doing Business As Name - Organization

Office Location

Street Address 1240 MAYACAMA CLUB DR
City SANTA ROSA
State CA
Zip Code 95403-8251

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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