Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. Bernardine Medical Center
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
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(858) 275-8112
(779) 803-8118
Mailing address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870692261
IRS
—
01
—
870692261924040000
TRICARE / CHAMPUS
—
05
—
HSC30129G
—
CA
05
—
ZZT40129G
—
CA
01
—
ZZZA3602Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/03/2006
Last updated
06/18/2025
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