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Organization

CHW MEDICAL FOUNDATION

Active
Parent organization
CHW MEDICAL FOUNDATION
Other names
Mercy Imaging Centers, a Service of CHW Medical Foundation
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHW MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization

Contact information

Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5190
(916) 537-5342
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-5701
(916) 733-3401

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ79531Z
MEDI-CAL
CA
01
ZZZ79531Z
BSCA
Enumeration date
07/07/2006
Last updated
11/18/2020
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