NPI: 1922336296
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION
Doing Business As: MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization
Specialization: Multi-Specialty
CLIA Number: 05D0869592
Address:
3427 ROBIN LN
SUITE 100
CAMERON PARK, CA
ZIP 95682
Phone: (530) 676-7337
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Cameron Park, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1922336296. 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:
3427 ROBIN LN
SUITE 100
CAMERON PARK, CA
ZIP 95682-255
Phone: (530) 676-7337
Fax: (530) 676-1141
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 05D0869592 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/25/2009 and was last updated on 11/18/2020.