Provider Demographics
NPI:1083732853
Name:DIGNITY HEALTH
Entity type:Organization
Organization Name:DIGNITY HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-275-8112
Mailing Address - Street 1:P. O. BOX 469009
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-6009
Mailing Address - Country:US
Mailing Address - Phone:858-275-8112
Mailing Address - Fax:779-803-8118
Practice Address - Street 1:2550 SISTER MARY COLUMBA DR
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4327
Practice Address - Country:US
Practice Address - Phone:858-275-8112
Practice Address - Fax:779-803-8118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIGNITY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-27
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230000036275N00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA721561118OtherIRS FTN NUMBER
CA721561118960800002OtherCHAMPUS TRICARE ACUTE
CA721561118960800005OtherCHAMPUS TRICARE AMBULANCE
CALTC30042GMedicaid
CAHSP40042HMedicaid
CAZZR00042HMedicaid
CAMTE00272FMedicaid
CAZZZ56412ZOtherBLUE SHIELD CA CARDIOLOGY
CAZZZC5202ZOtherBLUE SHIELD OF CA ACUTE
CAZZZC5202ZOtherBLUE SHIELD OF CA ACUTE
CA721561118OtherIRS FTN NUMBER
CA05U042Medicare Oscar/Certification