Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
8001 Madison Ave Citrus Heights CA 95610-7901 | |
(916) 536-2420 | |
(916) 965-7844 |
Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 8001 Madison Ave, Citrus Heights, 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 8001 Madison Ave Citrus Heights CA 95610-7901 Ph: (916) 536-2420 |
NPI Number | 1881728269 |
---|---|
Provider Enumeration Date | 03/15/2007 |
Last Update Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881728269 | NPI | - | NPPES |
0019838 | Other | CIGNA | |
195 | Other | HEALTH NET | |
341996544 | Other | SPECIAL PURPOSE TAX ID # | |
983 | Other | HEALTH NET | |
476040018 | Other | DME SUPPLIER # | |
GR005015C | Medicaid | CA | |
ZZZ38532Z | Other | BLUE SHIELD | |
KYK | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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