Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
4400 Duckhorn Dr Suite 100 Sacramento CA 95834-2589 | |
(916) 575-8000 | |
(916) 575-8099 |
Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 4400 Duckhorn Dr, Sacramento, 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) 733-5336 | Mercy Medical Group, A Service Of Dignity Health Medical Foundation 4400 Duckhorn Dr Suite 100 Sacramento CA 95834-2589 Ph: (916) 575-8000 |
NPI Number | 1063536134 |
---|---|
Provider Enumeration Date | 03/16/2007 |
Last Update Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063536134 | NPI | - | NPPES |
341996544 | Other | SPECIAL PURPOSE TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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