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DIGNITY HEALTH MEDICAL FOUNDATION NPI 1962790014


NPI Information

NPI: 1962790014
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: DIGNITY HEALTH MEDICAL GROUP - SAINT FRANCIS - ST. MARY'S, A SERVICE O

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

Specialization: Multi-Specialty

CLIA Number: 05D2117981

Address:
2250 HAYES ST STE 302
SAN FRANCISCO, CA
ZIP 94117
Phone: (415) 750-5995
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in San Francisco, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1962790014. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Saint Francis - St. Mary's, A Service O.

The provider's business location address is:

2250 HAYES ST STE 302
SAN FRANCISCO, CA
ZIP 94117-078
Phone: (415) 750-5995
Fax: (415) 666-3144

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 CLIA number assigned to this NPI record is 05D2117981 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2011 and was last updated on 10/2/2023.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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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