Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Medical Center Mt. Shasta
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
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(858) 275-8112
(779) 803-8118
Mailing address
P O BOX 469009, REDDING, CA 96049-6009
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
230000015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050419B000000
CMS SECTION 1011
—
01
—
721561129
IRS FTN NUMBER
CA
01
—
721561129960670000
CHAMPUS TRICARE ACUTE
CA
01
—
721561129960670001
CHAMPUS TRICARE SWING BED
CA
05
—
HSP30419I
—
CA
05
—
HSP40419I
—
CA
01
—
ZZZC4704Z
BLUE SHIELD OF CA
CA
Enumeration date
03/27/2007
Last updated
06/18/2025
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