DIGNITY HEALTH NPI 1235672403

NPI Information

DIGNITY HEALTH is a rural health clinic center in Cottonwood, CA. DIGNITY HEALTH NPI is 1235672403. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Lassen Medical Clinic-cottonwood.

The provider's business location address is:

20833 LONG BRANCH DR
COTTONWOOD, CA
ZIP 96022-701
Phone: (530) 347-3418
Fax: (530) 528-4423

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 CLIA number assigned to this NPI record is 05D0618340 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 1/5/2017.

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:

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