DIGNITY HEALTH NPI 1518085430

NPI Information

NPI: 1518085430
Provider Name: DIGNITY HEALTH

Doing Business As: MERCY MEDICAL CENTER MT. SHASTA

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
914 PINE ST
MOUNT SHASTA, CA
ZIP 96067
Phone: (530) 926-6111
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DIGNITY HEALTH is a critical access general acute care hospital in Mount Shasta, CA. The provider is definition to come. DIGNITY HEALTH NPI is 1518085430. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Medical Center Mt. Shasta.

The provider's business location address is:

914 PINE ST
MOUNT SHASTA, CA
ZIP 96067-143
Phone: (530) 926-6111
Fax: (530) 225-7278

The provider's authorized official is Kim Miranda .
The authorized official title is Chief Financial Officer and has the following contact phone number (530) 225-6121.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	230000015	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	721561129960670000	OTHER	CALIFORNIA	CHAMPUS TRICARE ACUTE
2	ZZZC4704Z	OTHER	CALIFORNIA	BLUE SHIELD OF CA
3	051319	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
4	HSP40419I	MEDICAID	CALIFORNIA
5	050419B000000	OTHER		CMS SECTION 1011
6	721561129	OTHER	CALIFORNIA	IRS FTN NUMBER
7	HSP30419I	MEDICAID	CALIFORNIA
8	05Z319	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
9	721561129960670001	OTHER	CALIFORNIA	CHAMPUS TRICARE SWING BED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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