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Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Mercy Imaging Centers, a service of Dignity Health Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization
Contact information
Practice address
6305 COYLE AVE, CARMICHAEL, CA 95608-0438
(916) 961-6920
(916) 966-5063
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-5701
(916) 733-3401
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
142554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0011374
MEDI-CAL
CA
01
—
YYY20432Y
BLUE SHIELD
CA
Enumeration date
07/03/2006
Last updated
11/18/2020
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