St. Mary'S Department Of Medicine Medical Group

LBN: Dignity Health
St. Mary'S Department Of Medicine Medical Group is an health care organization with primary practice located at 450 Stanyan St , San Francisco CA 94117-1079. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Dignity Health can be contacted via phone (415) 668-1000, or through Brettner, Eric via phone (415) 750-5726.

Contact Information

Primary practice address
450 Stanyan St San Francisco CA 94117-1079
Phone: (415) 668-1000
Fax: (415) 750-5899
Website:
Map and Directions
Authorized official contact:
Name: Brettner, Eric
Phone: (415) 750-5726

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 220000071 California

Profile Details

NPI number 1629291745
LBN Legal business name Dignity Health
DBA Doing business as St. Mary'S Department Of Medicine Medical Group
Authorized official Brettner, Eric
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2007
Last updated Sep 23rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629291745 NPPES
Other ZZZ05047Z BLUE SHIELD OF CA
MEDICAID GR0050760 BLUE SHIELD OF CA
Other 721561126 BLUE SHIELD OF CA

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