WOODLAND CLINIC, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1144497678
Clinic/Center - Multi-Specialty in Woodland, CA
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 05D2120318
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-12-2026
About WOODLAND CLINIC, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Woodland Clinic, A Service Of Dignity Health Medical Foundation, a provider established in Woodland, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1144497678 assigned on May 2008. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Woodland Clinic, A Service Of Dignity Health Medical Foundation. The authorized official of this NPI record is Theresa M Hylen (Chief Financial Officer)
- NPI
- 1144497678 Verify this NPI
- Provider Legal Name
- DIGNITY HEALTH MEDICAL FOUNDATION
- Other Organization Name
- WOODLAND CLINIC, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 632 W GIBSON RD WOODLAND, CA 95695
- Location Phone
- (530) 666-1631
- Location Fax
- (530) 666-7255
- Mailing Address
- PO BOX 748217 LOS ANGELES, CA 90074
- Mailing Phone
- (530) 666-1631
- Mailing Fax
- (530) 666-7255
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-14-2008
- Last Update Date
- 03-17-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2120318
- Facility Type
- Physician Office
- Certificate Effective Date
- October 13, 2024
- Certificate Expiration Date
- October 12, 2026
- Laboratory Director
- LUCY M. DOUGLASS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Woodland Clinic, A Service Of Dignity Health Medical Foundation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WOODLAND, CA 95695
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144497678, enumerated as an "organization" on May 14, 2008.
The provider is located at 632 W GIBSON RD WOODLAND, CA 95695 and the phone number is (530) 666-1631.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
