Mercy Medical Group, A Service Of Dignity Health Medical Foundation

LBN: Dignity Health Medical Foundation
Mercy Medical Group, A Service Of Dignity Health Medical Foundation is an health care organization with primary practice located at 8120 Timberlake Way , Sacramento CA 95823-5412. 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 (916) 681-6000, or through Hylen, Theresa M via phone (916) 851-2559.

Contact Information

Primary practice address
8120 Timberlake Way Sacramento CA 95823-5412
Fax: (916) 681-6135
Website:
Authorized official contact:
Name: Hylen, Theresa M

Health care specialties

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

Profile Details

NPI number 1912021163
LBN Legal business name Dignity Health Medical Foundation
DBA Doing business as Mercy Medical Group, A Service Of Dignity Health Medical Foundation
Authorized official Hylen, Theresa M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 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 1912021163 NPPES
Other ZZZ43962Z BLUE SHIELD
Other 476040022 BLUE SHIELD
MEDICAID GR0050151 BLUE SHIELD
Other 0019838 BLUE SHIELD
Other 195 BLUE SHIELD
Other KYR BLUE SHIELD
Other 983 BLUE SHIELD

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