Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
KIM MIRANDA (CHIEF FINANCIAL OFFICER)
(530) 225-6121
Entity
Organization
Contact information
Practice address
1544 MARKET ST, REDDING, CA 96001-1023
(530) 245-4040
(530) 245-4060
Mailing address
1544 MARKET STREET, REDDING, CA 96001
(530) 245-4040
(530) 245-4060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
230000079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562360411
IRS IDENTIFICATION NUMBER
CA
01
—
562360411960010004
CHAMPUS TRICARE #
CA
05
—
HHA07609G
—
CA
01
—
ZZZ98022Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/27/2007
Last updated
07/01/2016
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