DIGNITY HEALTH NPI 1255609699

NPI Information

  • NPI: 1255609699
  • Provider Name: DIGNITY HEALTH
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MERCY LAKE SHASTINA COMMUNITY CLINIC
  • CLIA Number: 05D2039442
  • Address: 16337 EVERHART DR
    WEED, CA
    ZIP 96094
  • Phone: (530) 938-2297

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NPI Details

DIGNITY HEALTH is a rural health clinic center in Weed, CA. DIGNITY HEALTH NPI is 1255609699. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Lake Shastina Community Clinic.

The provider's business location address is:

16337 EVERHART DR
WEED, CA
ZIP 96094-400
Phone: (530) 938-2297
Fax: (530) 938-0494

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 05D2039442 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/13/2011 and was last updated on 10/31/2016.

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
1261QR1300XClinic/CenterRural HealthYes

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
1473431860OTHERSP TIN
2058662MEDICARE 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: 11/21/2025

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