Organization
CHW MEDICAL FOUNDATION
Active
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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