DIGNITY HEALTH MEDICAL FOUNDATION NPI 1205868346

NPI Information

NPI: 1205868346
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

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

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3941 J ST
SUITE 270
SACRAMENTO, CA
ZIP 95819
Phone: (916) 733-6930
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DIGNITY HEALTH MEDICAL FOUNDATION is a radiology clinic center in Sacramento, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1205868346. 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:

3941 J ST
SUITE 270
SACRAMENTO, CA
ZIP 95819-628
Phone: (916) 733-6930
Fax: (916) 733-6822

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 7/7/2006 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	261QR0200X	Clinic/Center	Radiology			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	GR0011377	OTHER	CALIFORNIA	MEDI-CAL
2	ZZZ30811Z	OTHER	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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