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DIGNITY HEALTH MEDICAL FOUNDATION NPI 1497180632


NPI Information

NPI: 1497180632
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D2065999

Address:
1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 939-8400
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DIGNITY HEALTH MEDICAL FOUNDATION is a non pharmacy dispensing site in El Dorado Hills, 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.) DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1497180632. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Foundation - El Dorado Hills.

The provider's business location address is:

1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762-348
Phone: (916) 939-8400

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 05D2065999 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2013 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteA96435CALIFORNIAYes

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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