NPI:
1912021163
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: 05D0911588
Address:
8120 TIMBERLAKE WAY
SACRAMENTO, CA
ZIP 95823
Phone:
(916) 681-6000
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Sacramento, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1912021163. 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:
8120 TIMBERLAKE WAY
SACRAMENTO, CA
ZIP 95823-412
Phone: (916) 681-6000
Fax: (916) 681-6135
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 05D0911588 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/16/2007 and was last updated on 11/18/2020.