Provider Demographics
NPI:1932325792
Name:DAWN M HAYES
Entity Type:Organization
Organization Name:DAWN M HAYES
Other - Org Name:MEDCARE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-783-0101
Mailing Address - Street 1:1907 DOUGLAS BLVD STE 70
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3808
Mailing Address - Country:US
Mailing Address - Phone:916-783-0101
Mailing Address - Fax:916-783-6049
Practice Address - Street 1:1907 DOUGLAS BLVD STE 70
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3808
Practice Address - Country:US
Practice Address - Phone:916-783-0101
Practice Address - Fax:916-783-6049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty