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Organization
DIGNITY HEALTH
Active
Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. Mary's Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
ERIC BRETTNER (CHIEF FINANCIAL OFFICER)
(415) 750-5726
Entity
Organization
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1079
(415) 668-1000
(415) 750-5899
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(916) 861-1102
(916) 861-7707
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
KAISER
—
01
—
721561126
IRS
—
05
—
LTC55833F
—
CA
01
—
ZZZA3810Z
BLUE SHIELD
CA
Enumeration date
02/15/2007
Last updated
09/09/2013
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