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DIGNITY HEALTH NPI 1821134040


NPI Information

NPI: 1821134040
Provider Name: DIGNITY HEALTH

Doing Business As: DIGNITY HEALTH HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D0863322

Address:
124 S COLLEGE DR
SANTA MARIA, CA
ZIP 93454
Phone: (805) 739-3830
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DIGNITY HEALTH is a hospice care community based in Santa Maria, CA. DIGNITY HEALTH NPI is 1821134040. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Hospice.

The provider's business location address is:

124 S COLLEGE DR
SANTA MARIA, CA
ZIP 93454-325
Phone: (805) 739-3830
Fax: (805) 739-3829

The provider's authorized official is Sue Andersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3110.

The CLIA number assigned to this NPI record is 05D0863322 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 11/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based070000712CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ307272OTHERCALIFORNIABLUE SHIELD
2HPC01592HMEDICAIDCALIFORNIA
3651190935OTHERIRS
4651190935934540003OTHERTRI WEST
5051592MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 4/28/2024

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