# DIGNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIGNITY HEALTH
- **Other names:** St. Mary's Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346383338
- **Legal business name:** DIGNITY HEALTH
- **Authorized official:** ERIC BRETTNER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (415) 750-5726

## Contact information

- **Practice address:** 450 STANYAN ST, SAN FRANCISCO, CA 94117-1079
- **Practice address phone:** (415) 668-1000
- **Practice address fax:** (415) 750-5899
- **Mailing address:** 3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
- **Mailing address phone:** (916) 861-1102
- **Mailing address fax:** (916) 861-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000071 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 09/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01 | KAISER | — |
| 01 | — | 721561126 | IRS | — |
| 05 | — | LTC55833F | — | CA |
| 01 | — | ZZZA3810Z | BLUE SHIELD | CA |