| Dignity Health | |
|
912 Pine St Mount Shasta CA 96067-2143 | |
| (530) 926-7196 | |
| Not Available |
| Full Name | Dignity Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 912 Pine St, Mount Shasta, California |
| Authorized Official Name and Position | Kim Miranda (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5302256121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health 3400 Data Dr Rancho Cordova CA 95670-7956 Ph: (916) 379-2782 | Dignity Health 912 Pine St Mount Shasta CA 96067-2143 Ph: (530) 926-7196 |
| NPI Number | 1508341397 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508341397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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