| Mercy Medical Group, A Service Of Dignity Health Medical Foundation | |
|
3939 J St Ste 320 Sacramento CA 95819-3666 | |
| (916) 733-6901 | |
| (916) 733-3379 |
| Full Name | Mercy Medical Group, A Service Of Dignity Health Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3939 J St Ste 320, Sacramento, California |
| Authorized Official Name and Position | Theresa 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 3939 J St Ste 320 Sacramento CA 95819-3666 Ph: (916) 733-6901 |
| NPI Number | 1043344427 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043344427 | NPI | - | NPPES |
| ZZZ67793Z | Other | BLUE SHIELD OF CA | |
| 0019838 | Other | CIGNA | |
| 983 | Other | HEALTH NET | |
| 341996544 | Other | SPECIAL PURPOSE TAX ID # | |
| GR0091676 | Medicaid | CA | |
| 195 | Other | HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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