# DIGNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIGNITY HEALTH
- **Other names:** Marian Extended Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144358953
- **Legal business name:** DIGNITY HEALTH
- **Authorized official:** SUE ANDERSEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (805) 739-3110

## Contact information

- **Practice address:** 1530 CYPRESS WAY, SANTA MARIA, CA 93454-5900
- **Practice address phone:** (805) 739-3650
- **Practice address fax:** (805) 922-9067
- **Mailing address:** 1530 CYPRESS WAY, SANTA MARIA, CA 93454-5900
- **Mailing address phone:** (805) 739-3650
- **Mailing address fax:** (805) 922-9067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000040 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 02/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245100 | AETNA | CA |
| 01 | — | 651190935 | IRS | CA |
| 01 | — | 651190935934540006 | WPS TRICARE | CA |
| 05 | — | LTC55236H | — | CA |
| 01 | — | ZZZA4203Z | BLUE SHIELD OF CA | — |