# DIGNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIGNITY HEALTH
- **Other names:** Mercy Medical Center Mt. Shasta Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508341397
- **Legal business name:** DIGNITY HEALTH
- **Authorized official:** KIM MIRANDA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (530) 225-6121

## Contact information

- **Practice address:** 912 PINE ST, MOUNT SHASTA, CA 96067-2143
- **Practice address phone:** (530) 926-7196
- **Mailing address:** 3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
- **Mailing address phone:** (916) 379-2782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/27/2018