Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Mercy Medical Group, 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
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3397
(916) 733-5385
Mailing address
PO BOX 742016, LOS ANGELES, CA 90074-2016
(916) 379-2840
(916) 859-1106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050150
—
CA
05
—
GRE000270
—
CA
05
—
GSD000840
—
CA
01
—
KVY
BLUE CROSS
CA
01
—
ZZZ26345Z
BSCA - ENDOCRINOLOGY
—
01
—
ZZZ28115Z
BSCA - DOWNTOWN
—
01
—
ZZZ29336Z
BSCA - FAMILY PRACTICE
—
01
—
ZZZ29337Z
BSCA - INTERNAL MEDICINE
—
01
—
ZZZ293383
BSCA - OBGYN
—
01
—
ZZZ29339Z
BSCA - PEDIATRICS
—
01
—
ZZZ29468Z
BSCA - RHEUMATOLOGY
—
01
—
ZZZ29472Z
BSCA - UROLOGY
—
01
—
ZZZ29474Z
BSCA - RADIOLOGY
—
01
—
ZZZ29475X
BSCA - GASTROENTEROLOGY
—
01
—
ZZZ29477Z
BSCA - ALLERGY
—
01
—
ZZZ29478Z
BSCA - GENERAL SURGERY
—
Enumeration date
07/17/2006
Last updated
11/18/2020
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