DIGNITY HEALTH MEDICAL FOUNDATION NPI 1558495937

NPI Information

NPI: 1558495937
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7911 LAGUNA BLVD
ELK GROVE, CA
ZIP 95758
Phone: (916) 733-5801
Get Directions

DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Elk Grove, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1558495937. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Medical Group, A Service Of Dignity Health Medical Foundation.

The provider's business location address is:

7911 LAGUNA BLVD
ELK GROVE, CA
ZIP 95758-920
Phone: (916) 733-5801
Fax: (916) 683-0232

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 11/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	341996544	OTHER		SPECIAL PURPOSE TAX ID #
2	GR006356B	MEDICAID	CALIFORNIA
3	KYZ	OTHER		BLUE CROSS
4	195	OTHER		HEALTH NET
5	983	OTHER		HEALTH NET
6	0019838	OTHER		CIGNA
7	ZZZ09972Z	OTHER		BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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