Woodland Clinic, A Service Of Dignity Health Medical Foundation
LBN: Dignity Health Medical Foundation
Woodland Clinic, A Service Of Dignity Health Medical Foundation is an health care organization with primary practice located at 2330 W Covell Blvd , Davis CA 95616-5658. 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 (530) 756-2364, or through Hylen, Theresa M via phone (916) 851-2559.
Contact Information
Primary practice address
2330 W Covell Blvd
Davis CA 95616-5658
Phone: (530) 756-2364
Fax: (530) 759-2377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1407973548 |
|---|---|
| LBN Legal business name | Dignity Health Medical Foundation |
| DBA Doing business as | Woodland Clinic, A Service Of Dignity Health Medical Foundation |
| Authorized official | Hylen, Theresa M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407973548 | NPPES |
| Other | 571205856 | IRS | |
| MEDICAID | GR0091672 | IRS | |
| Other | ZZZ52384Z | IRS | |
| MEDICAID | GR0063569 | IRS |
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