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MERCY MEDICAL GROUP NPI 1073829636


NPI Information

NPI: 1073829636
Provider Name: MERCY MEDICAL GROUP

Doing Business As: MERCY MEDICAL GROUP - CAMERON PARK, A SERVICE OF CHW

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
3427 ROBIN LN
100
CAMERON PARK, CA
ZIP 95682
Phone: (530) 676-7337
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MERCY MEDICAL GROUP is a non pharmacy dispensing site in Cameron Park, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MERCY MEDICAL GROUP NPI is 1073829636. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Medical Group - Cameron Park, A Service Of Chw.

The provider's business location address is:

3427 ROBIN LN
100
CAMERON PARK, CA
ZIP 95682-254
Phone: (530) 676-7337

The provider's authorized official is Kenny Heine .
The authorized official title is Sr. Director Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 10/23/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteG64540CALIFORNIAYes

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: 4/28/2024

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