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 13350 Big Basin Way , Boulder Creek CA 95006-9237. 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) 338-2767, or through Hylen, Theresa M via phone (916) 851-2559.
Contact Information
Primary practice address
13350 Big Basin Way
Boulder Creek CA 95006-9237
Phone: (831) 338-2767
Fax: (831) 338-2767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1699971333 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699971333 | NPPES |
| California | MEDICAID | GR0091683 | |
| California | Other | ZZZ50290Z |
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