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NPI Code Detail

MEDICARE: DIGNITY HEALTH MEDICAL FOUNDATION

MEDICARE: DIGNITY HEALTH MEDICAL FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1649446352
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGNITY HEALTH MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 3000 Q ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-7058
Country : US
Telephone Number : 916-733-5701
Fax Number : 916-859-1671
Provider Business Practice Location Address
First Line : 2018 MISSION ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-5218
Country : US
Telephone Number : 831-465-7761
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : THERESA M HYLEN
Credential :
Telephone Number : 916-851-2559
Provider Enumeration Date : 05/02/2008
Last Update Date : 11/18/2020

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Directions to “DIGNITY HEALTH MEDICAL FOUNDATION ” Practice Location

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