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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
St. Mary Medical Center C.A.R.E. Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIGNITY HEALTH
Authorized official
RACHEL SMITH (CHIEF FINANCIAL OFFICER (INTERIM))
(562) 491-9929
Entity
Organization

Contact information

Practice address
1043 ELM AVE, LONG BEACH, CA 90813-3271
(562) 624-4900
(562) 491-9128
Mailing address
1043 ELM AVE, SUITE 300, LONG BEACH, CA 90813-3271
(562) 624-4906
(562) 624-4960

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
930000012
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022013
AETNA
01
870692255
IRS
CA
05
AYD000290
CA
05
ZZT40191H
CA
01
ZZZA0191Z
BLUE SHIELD
CA
Enumeration date
03/21/2007
Last updated
09/23/2013
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