Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Dignity Health Medical Network - Santa Cruz
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
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(888) 314-3627
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(888) 314-3627
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352567959
IRS
CA
Enumeration date
06/29/2017
Last updated
07/21/2022
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