Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. Rose Dominican Hospital, Rose de Lima Campus
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
102 E LAKE MEAD PKWY, HENDERSON, NV 89015-5575
(858) 275-8112
(779) 803-8118
Mailing address
3033 N 3RD AVE, PHOENIX, AZ 85013-4447
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
659HOS-12
CA
282N00000X
General Acute Care Hospital
Primary
659HOS-12
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002873
—
NV
05
—
1102873
—
NV
05
—
1202873
—
NV
01
—
190750100
US DEPT OF LABOR
NV
01
—
68477
AETNA
NV
01
—
880059427
IRS
—
01
—
880059427890150000
TRICARECHAMPUS
—
01
—
880059427890150008
TRICARECHAMPUS
NV
01
—
NV6055
BLUE CROSS BLUE SHIELD
NV
Enumeration date
02/14/2007
Last updated
06/18/2025
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