Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Medical Center Mt. Shasta Physicians
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
912 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-7196
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2782
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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