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Contact Information

DIGNITY HEALTH
914 PINE ST
MOUNT SHASTA, CA96067-2143
 Phone: 530-926-6111
 Fax: 530-225-7278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DIGNITY HEALTH

NPI # 1659491389
LBN Legal business name DIGNITY HEALTH
Authorized official KIM MIRANDA - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/29/2007
Last updated 06/10/2014 - About 12 years ago
Identifiers
CA License # HSP45527
CA Medicaid PHB331890
Other 0596657 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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