NPI:
1043456106
Provider Name:
DIGNITY HEALTH MEDICAL FOUNDATION
Doing Business As: DIGNITY HEALTH MEDICAL GROUP - SIERRA NEVADA, A SERVICE OF DIGNITY HEA
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
CLIA Number: 05D2130203
Address:
280 SIERRA COLLEGE DR STE 105
GRASS VALLEY, CA
ZIP 95945
Phone:
(530) 274-6727
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Grass Valley, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1043456106. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea.
The provider's business location address is:
280 SIERRA COLLEGE DR STE 105
GRASS VALLEY, CA
ZIP 95945-763
Phone: (530) 274-6727
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 05D2130203 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 12/19/2008 and was last updated on 11/18/2020.