Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
6555 Coyle Ave Carmichael CA 95608-0302 | |
(916) 536-3540 | |
(916) 536-3578 |
Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 6555 Coyle Ave, Carmichael, California |
Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9168512559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mercy Medical Group, A Service Of Dignity Health Medical Foundation Po Box 60000 File #72938 San Francisco CA 94160-2938 Ph: (916) 733-3397 | Mercy Medical Group, A Service Of Dignity Health Medical Foundation 6555 Coyle Ave Carmichael CA 95608-0302 Ph: (916) 536-3540 |
NPI Number | 1407970643 |
---|---|
Provider Enumeration Date | 03/16/2007 |
Last Update Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407970643 | NPI | - | NPPES |
0019838 | Other | CIGNA | |
GRE000271 | Medicaid | CA | |
GSD000842 | Medicaid | CA | |
ZZZ29479Z | Other | BLUE SHIELD | |
195 | Other | HEALTH NET | |
GR0050156 | Medicaid | CA | |
476040020 | Other | DME SUPPLIER # | |
983 | Other | HEALTH NET | |
KYS | Other | BLUE CROSS | |
ZZZ00161Z | Other | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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