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
6620 COYLE AVE, SUITE 107, CARMICHAEL, CA 95608-6333
(916) 961-6946
(916) 961-7217
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-5701
(916) 733-3401
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
18528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0011372
MEDI-CAL
CA
01
—
ZZZ17567Z
BLUE SHIELD
CA
Enumeration date
07/04/2006
Last updated
11/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us