| Dignity Health Medical Foundation | |
|
7911 Laguna Blvd Elk Grove CA 95758-7920 | |
| (916) 733-5801 | |
| (916) 683-0232 |
| Full Name | Dignity Health Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7911 Laguna Blvd, Elk Grove, 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 Foundation Po Box 60000 File #72938 San Francisco CA 94160-2938 Ph: (916) 733-3397 | Dignity Health Medical Foundation 7911 Laguna Blvd Elk Grove CA 95758-7920 Ph: (916) 733-5801 |
| NPI Number | 1558495937 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558495937 | NPI | - | NPPES |
| 0019838 | Other | CIGNA | |
| KYZ | Other | BLUE CROSS | |
| 341996544 | Other | SPECIAL PURPOSE TAX ID # | |
| ZZZ09972Z | Other | BLUE SHIELD | |
| 983 | Other | HEALTH NET | |
| 195 | Other | HEALTH NET | |
| GR006356B | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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