| Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
|
1700 Prairie City Rd Folsom CA 95630-9594 | |
| (916) 351-4800 | |
| (916) 351-4899 |
| Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1700 Prairie City Rd, Folsom, 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 |
|---|---|
| Mercy Medical Group, A Service Of Dignity Health Medical Foundation Po Box 60000 File #72938 San Francisco CA 94160-2938 Ph: (916) 733-3397 | Mercy Medical Group, A Service Of Dignity Health Medical Foundation 1700 Prairie City Rd Folsom CA 95630-9594 Ph: (916) 351-4800 |
| NPI Number | 1497879597 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497879597 | NPI | - | NPPES |
| 983 | Other | HEALTH NET | |
| 195 | Other | HEALTH NET | |
| 341996544 | Other | SPECIAL PURPOSE TAX ID # | |
| GR0091673 | Medicaid | CA | |
| 1BY | Other | BLUE CROSS | |
| 0019838 | Other | CIGNA | |
| ZZZ13173Z | Other | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Uc Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9350 | |
Folsom Lake Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 E Bidwell St Ste 210, Folsom, CA 95630 Phone: 916-984-7850 | |
Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Creekside Dr, Suite 101, Folsom, CA 95630 Phone: 916-984-1866 Fax: 916-983-3891 | |
Thrive Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 E Bidwell St Ste 300, Folsom, CA 95630 Phone: 916-316-6469 | |
Roy A Greenberg Md A Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr, Suite 2100, Folsom, CA 95630 Phone: 916-983-2663 Fax: 916-983-0602 | |
Moness Medical Office, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 Creekside Dr, Suite 102, Folsom, CA 95630 Phone: 916-984-9004 Fax: 916-984-9094 | |
Healthy Living Primary Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 Fax: 916-983-8891 |