| Woodland Clinic, A Service Of Dignity Health Medical Foundation | |
|
2330 W Covell Blvd Davis CA 95616-5658 | |
| (530) 756-2364 | |
| (530) 759-2377 |
| Full Name | Woodland Clinic, A Service Of Dignity Health Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2330 W Covell Blvd, Davis, 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 |
|---|---|
| Woodland Clinic, A Service Of Dignity Health Medical Foundation 1321 Cottonwood St Woodland CA 95695-5131 Ph: (530) 666-1631 | Woodland Clinic, A Service Of Dignity Health Medical Foundation 2330 W Covell Blvd Davis CA 95616-5658 Ph: (530) 756-2364 |
| NPI Number | 1407973548 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407973548 | NPI | - | NPPES |
| 571205856 | Other | IRS | |
| GR0091672 | Medicaid | CA | |
| ZZZ52384Z | Other | CA | BLUE SHIELD |
| GR0063569 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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