Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Mercy San Juan 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
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(858) 275-8112
(779) 803-8118
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
030000063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196456501
DEPT. OF LABOR - WC
CA
01
—
942761692
IRS - PRE-MERGER TAX ID
—
01
—
942761692956080014
WPS TRICARE
—
05
—
CGP021540
—
CA
05
—
HSC00516F
—
CA
01
—
HSC40516G
CMISP - TRAUMA
CA
05
—
HSP40516F
—
CA
05
—
ZZR00516F
—
CA
01
—
ZZZA3403Z
BLUE SHIELD OF CA
—
Enumeration date
06/04/2006
Last updated
06/18/2025
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