Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. Mary Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
DANIEL MORISSETTE (CHIEF FINANCIAL OFFICER)
(858) 275-8112
Entity
Organization
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(858) 275-8112
(779) 803-8118
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
930000012
CA
273Y00000X
Rehabilitation Hospital Unit
930000012
CA
282N00000X
General Acute Care Hospital
Primary
930000012
CA
314000000X
Skilled Nursing Facility
930000012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022013
AETNA
CA
01
—
050191B000000
CMS SECTION 1011
CA
01
—
870692255
IRS
CA
01
—
870692255908130000
WPS TRICARE
CA
05
—
HSC30191H
—
CA
05
—
HSM30191H
—
CA
05
—
LTC70135G
—
CA
01
—
STMM
UNIVERSAL
CA
05
—
ZZT30191H
—
CA
05
—
ZZT40191H
—
CA
01
—
ZZZA0191Z
BLUE SHIELD
CA
Enumeration date
03/19/2007
Last updated
06/18/2025
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