| Mercyclinic Norwood | |
|
3911 Norwood Ave Sacramento CA 95838-3361 | |
| (916) 929-8575 | |
| (916) 929-3548 |
| Full Name | Mercyclinic Norwood |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3911 Norwood Ave, Sacramento, California |
| Authorized Official Name and Position | Bonnie Jenkins (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9164534459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyclinic Norwood 3911 Norwood Ave Sacramento CA 95838-3361 Ph: (916) 929-8575 | Mercyclinic Norwood 3911 Norwood Ave Sacramento CA 95838-3361 Ph: (916) 929-8575 |
| NPI Number | 1003941808 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003941808 | NPI | - | NPPES |
| 680483801 | Other | IRS | |
| GR0091670 | Medicaid | CA | |
| HSP40017G | Medicaid | CA | |
| 942761692 | Other | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 030000062 (California) | Primary |
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