Provider Demographics
NPI:1689460891
Name:COUNTY OF TUOLUMNE
Entity type:Organization
Organization Name:COUNTY OF TUOLUMNE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR. HEALTH AND HUMAN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-533-5711
Mailing Address - Street 1:20075 CEDAR RD N
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5900
Mailing Address - Country:US
Mailing Address - Phone:209-533-7382
Mailing Address - Fax:
Practice Address - Street 1:20075 CEDAR RD N
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5900
Practice Address - Country:US
Practice Address - Phone:209-533-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF TUOLUMNE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-15
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage