Dignity Health Medical Group - Stockton, A Service Of Dignity Health M

LBN: Dignity Health Medical Foundation
Dignity Health Medical Group - Stockton, A Service Of Dignity Health M is an health care organization with primary practice located at 3132 W March Ln Suite 5, Stockton CA 95219-2354. 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 (209) 475-5500, or through Hylen, Theresa M via phone (916) 851-2559.

Contact Information

Primary practice address
3132 W March Ln Suite 5 Stockton CA 95219-2354
Fax: (209) 475-5515
Website:
Authorized official contact:
Name: Hylen, Theresa M

Health care specialties

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

Profile Details

NPI number 1861410581
LBN Legal business name Dignity Health Medical Foundation
DBA Doing business as Dignity Health Medical Group - Stockton, A Service Of Dignity Health M
Authorized official Hylen, Theresa M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2006
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 1861410581 NPPES
Other 7291 STOCKTON LOC - HEALTHNET
MEDICAID GR0091671 STOCKTON LOC - HEALTHNET
Other 371518341 STOCKTON LOC - HEALTHNET
Other ZZZ66457Z STOCKTON LOC - HEALTHNET

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