Organization
DIGNITY HEALTH
Active
Organization
DIGNITY HEALTH
Active
Other names
Dignity Health Home Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SULLIVAN PHD (VP POST ACUTE CARE SERVICES)
(805) 739-3830
Entity
Organization
Contact information
Practice address
124 S COLLEGE DR STE C, SANTA MARIA, CA 93454-5325
(805) 739-3810
(805) 739-3851
Mailing address
124 S COLLEGE DR, STE C, SANTA MARIA, CA 93454-5325
(805) 739-3810
(805) 739-3851
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998785
PK
—
05
—
PHA455100
—
CA
Enumeration date
01/29/2007
Last updated
10/28/2020
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