| Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea | |
|
280 Sierra College Dr Ste 105 Grass Valley CA 95945-5763 | |
| (530) 274-6727 | |
| Not Available |
| Full Name | Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 280 Sierra College Dr Ste 105, Grass Valley, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea Po Box 742664 Los Angeles CA 90074-2664 Ph: (916) 733-5701 | Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea 280 Sierra College Dr Ste 105 Grass Valley CA 95945-5763 Ph: (530) 274-6727 |
| NPI Number | 1043456106 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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