Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Pine Street Clinic
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
408 PINE ST, MOUNT SHASTA, CA 96067-2126
(530) 926-6111
(530) 926-0517
Mailing address
3400 DATA DR, 1ST FLOOR, RANCHO CORDOVA, CA 95670-7956
(530) 225-6300
(530) 225-7278
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
10/31/2016
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