| Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
|
4400 Duckhorn Dr Suite 100 Sacramento CA 95834-2589 | |
| (916) 575-8000 | |
| (916) 575-8099 |
| Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4400 Duckhorn Dr, Sacramento, 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) 733-5336 | Mercy Medical Group, A Service Of Dignity Health Medical Foundation 4400 Duckhorn Dr Suite 100 Sacramento CA 95834-2589 Ph: (916) 575-8000 |
| NPI Number | 1063536134 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063536134 | NPI | - | NPPES |
| 341996544 | Other | SPECIAL PURPOSE TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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