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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
Mercy Hospice
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
1544 MARKET ST, REDDING, CA 96001-1023
(530) 245-4040
(530) 245-4060
Mailing address
1544 MARKET ST, REDDING, CA 96001-1023
(530) 245-4040
(530) 245-4060

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
100000778
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
562360411
IRS NUMBER
CA
01
562360411960010003
CHAMPUS TRICARE
CA
05
HPC01645F
CA
01
ZZZ98022Z
BLUE SHIELD
CA
Enumeration date
03/26/2007
Last updated
07/05/2016
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