Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Memorial Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
ANDY CANTU (CHIEF FINANCIAL OFFICER)
(661) 632-5296
Entity
Organization
Contact information
Practice address
1600 D STREET, SUITE 202, BAKERSFIELD, CA 93301-5329
(661) 632-5050
(661) 632-5660
Mailing address
PO BOX 119, BAKERSFIELD, CA 93302-0119
(661) 663-6400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
120000192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870692237
IRS
CA
05
—
HHA07704G
—
CA
01
—
ZZZ21451Z
BLUE SHIELD
CA
Enumeration date
01/11/2007
Last updated
03/27/2012
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