Provider Demographics
NPI:1386647857
Name:CITY OF SONOMA
Entity type:Organization
Organization Name:CITY OF SONOMA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFF.
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GIOVANATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-933-2213
Mailing Address - Street 1:#1 THE PLAZA
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6901
Mailing Address - Country:US
Mailing Address - Phone:707-938-3681
Mailing Address - Fax:707-938-2559
Practice Address - Street 1:630 SECOND STREET WEST
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6901
Practice Address - Country:US
Practice Address - Phone:707-996-2102
Practice Address - Fax:707-996-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00448FMedicaid
CAMTE00448FMedicaid