Dignity Health Medical Group - Dominican, A Service Of Dignity Health

LBN: Dignity Health Medical Foundation
Dignity Health Medical Group - Dominican, A Service Of Dignity Health is an health care organization with primary practice located at 1667 Dominican Way Suite 134, Santa Cruz CA 95065-1518. 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 Medical Foundation can be contacted via phone (831) 475-8834, or through Hylen, Theresa M via phone (916) 851-2559.

Contact Information

Primary practice address
1667 Dominican Way Suite 134 Santa Cruz CA 95065-1518
Phone: (831) 475-8834
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hylen, Theresa M
Phone: (916) 851-2559

Health care specialties

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

Profile Details

NPI number 1043416795
LBN Legal business name Dignity Health Medical Foundation
DBA Doing business as Dignity Health Medical Group - Dominican, A Service Of Dignity Health
Authorized official Hylen, Theresa M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2007
Last updated Nov 18th, 2020 - about 4 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 1043416795 NPPES
Other ZZZ50293Z BSCA
MEDICAID GR0091685 BSCA

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