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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
Dignity Health Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIGNITY HEALTH
Authorized official
SUE ANDERSEN (CHIEF FINANCIAL OFFICER)
(805) 739-3110
Entity
Organization

Contact information

Practice address
124 S COLLEGE DR, SANTA MARIA, CA 93454-5325
(805) 739-3830
(805) 739-3829
Mailing address
124 S COLLEGE DR, SANTA MARIA, CA 93454-5325
(805) 739-3830
(805) 739-3829

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070000712
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
651190935
IRS
01
651190935934540003
TRI WEST
05
HPC01592H
CA
01
ZZZ307272
BLUE SHIELD
CA
Enumeration date
01/29/2007
Last updated
11/19/2015
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