SONORA COMMUNITY HOSPITAL
NPI: 1033100854
· SONORA, CA 95370
· Family Medicine Physician
· NPI assigned 11/01/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MCCULLOCH, GREGORY (PRESIDENT) |
| Parent Organization | SONORA COMMUNITY HOSPITAL |
| NPI Enumeration Date | 11/01/2005 |
Related Entities
Other providers sharing the same authorized official: MCCULLOCH, GREGORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
12 |
$0.00 |