Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Dominican Pediatric Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
MICHAEL WALSH (CHIEF FINANCIAL OFFICER)
(831) 462-7504
Entity
Organization
Contact information
Practice address
610 FREDERICK ST, 3RD FLOOR, SANTA CRUZ, CA 95062-2203
(831) 462-7501
(831) 462-7555
Mailing address
1555 SOQUEL DR, ATTN HOSPITAL PRESIDENT, SANTA CRUZ, CA 95065-1705
(831) 462-7501
(831) 462-7555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
070000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40242G
—
CA
Enumeration date
05/25/2007
Last updated
03/27/2012
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