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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
St. Joseph's Hospital and 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
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(858) 275-8112
(779) 803-8118
Mailing address
3033 N 3RD AVE, PHOENIX, AZ 85013-4447
(858) 275-8112
(779) 803-8118

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
H3003
AZ
282N00000X
General Acute Care Hospital
Primary
H3003
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
691974
AZ
01
721561134
IRS - SP TAX ID
01
721561134850130000
TRICARECHAMPUS
AZ
01
721561134850130001
TRICARECHAMPUS
AZ
01
AZ0208840
BLUE CROSS BLUE SHIELD
AZ
01
AZ0208900
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/05/2007
Last updated
06/18/2025
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