CHW MEDICAL FOUNDATION NPI 1679503759

NPI Information

  • NPI: 1679503759
  • Provider Name: CHW MEDICAL FOUNDATION
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • Doing Business As: MERCY IMAGING CENTERS, A SERVICE OF CHW MEDICAL FOUNDATION
  • CLIA Number: 05D2018293
  • Address: 6620 COYLE AVE
    SUITE 107
    CARMICHAEL, CA
    ZIP 95608
  • Phone: (916) 961-6946

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NPI Details

CHW MEDICAL FOUNDATION is a radiology and mammography clinic center in Carmichael, CA. CHW MEDICAL FOUNDATION NPI is 1679503759. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Imaging Centers, A Service Of Chw Medical Foundation.

The provider's business location address is:

6620 COYLE AVE
SUITE 107
CARMICHAEL, CA
ZIP 95608-333
Phone: (916) 961-6946
Fax: (916) 961-7217

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 05D2018293 - other - medication assisted treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 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
1261QR0206XClinic/CenterRadiology, Mammography18528CALIFORNIAYes

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
1ZZZ17567ZOTHERCALIFORNIABLUE SHIELD
2GR0011372OTHERCALIFORNIAMEDI-CAL

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: 11/21/2025

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