DIGNITY HEALTH (NPI# 1659491389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659491389 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH |
| Other Organization Name | MERCY MT. SHASTA INPATIENT PHARMACY |
| Practice Address |
914 Pine St Mount Shasta CA 96067-2143 |
| Practice Telephone | 5309266111 |
| Practice Fax Number | 5302257278 |
| Mailing Telephone | 5309266111 |
| Mailing Fax Number | 5302257278 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | KIM MIRANDA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5302256121 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP45527 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHB331890 | 05 | |
| NCPDP | 0596657 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Mt. Shasta Inpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065445 | Dignity Health | Clinic/Center | 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 | 2020-02-17 |
| 1609408665 | Dignity Health | Clinic/Center | 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 | 2020-02-07 |
| 1134687734 | Dignity Health | Clinic/Center | 2340 Liberty Pkwy Ste 200, Red Bluff, CA 96080-4350 | 2019-03-04 |
| 1528560794 | Dignity Health | Community/Behavioral Health | 1211 S Hobart Blvd, Los Angeles, CA 90006-3113 | 2018-03-05 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1073942009 | Dignity Health | Clinic/Center | 1900 Railroad Ave, Redding, CA 96001-1802 | 2013-11-12 |
| 1992131734 | Dignity Health | General Acute Care Hospital | 7300 N 99th Ave, Glendale, AZ 85305-1400 | 2013-09-25 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1922276237 | Dignity Health | Hospice Care, Community Based | 1600 D St, Suite 202, Bakersfield, CA 93301-5329 | 2008-02-20 |
| 1780807248 | Dignity Health | General Acute Care Hospital | 2102 N California St, Stockton, CA 95204-6031 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH | 185 Berry St Ste 300, San Francisco, CA 94107-1773 |
| New York State Corporations | DIGNITY HEALTH | 99 Washington Ave Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Dignity Health at Home, LLC | 12745 Utica Circle, Broomfield, CO 80020 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH FOUNDATION | 185 Berry Street, Suite 300, San Francisco, CA 94107-1773 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Colorado Business Entities | Dignity Health Purchasing Network, LLC | 198 Inverness Drive West, Englewood, CO 80112 |
| System for Award Management (SAM) Entities | DIGNITY HEALTHCARE, LLC | 535 N Park St, Uvalde, TX 78801-4363 |
| Street Address |
914 PINE ST |
| City | MOUNT SHASTA |
| State | CA |
| Zip Code | 96067-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740338 | Peter Spellman Halt | Radiologic Technologist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2005-06-16 |
| 1598305682 | North State Hospitalist Medical Group, Inc | Hospitalist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2020-01-07 |
| 1508374588 | Jessica Sarah Mead | Speech-Language Pathologist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2018-01-12 |
| 1255865127 | Stefan Swecker | Registered Nurse | 914 Pine St, Mount Shasta, CA 96067-2143 | 2017-04-17 |
| 1154864379 | Richard Ingle Md Inc | Family Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2016-11-19 |
| 1033585583 | Elaine Patterson | Dietitian, Registered | 914 Pine St, Mount Shasta, CA 96067-2143 | 2015-08-19 |
| 1417346552 | Rinnah Macvittie | Nurse Practitioner | 914 Pine St, Mount Shasta, CA 96067-2143 | 2015-01-13 |
| 1790106862 | Parish Anesthesia of California, A Professional Medical Corporation | Nurse Anesthetist, Certified Registered | 914 Pine St, Mount Shasta, CA 96067-2143 | 2013-12-17 |
| 1316389976 | Frank G Laiacona | Pharmacist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2013-07-24 |
| 1316299787 | Mount Eddy Emergency Physicians Medical Group, Inc. | Emergency Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
| 1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
| 1720477052 | Mountain Medics Inc | Ambulance | 234 Gateway Park Drive, Mount Shasta, CA 96067 | 2015-01-09 |
| 1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
| 1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
| 1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
| 1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
| 1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
| 1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
| 1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
| Find all providers in zip 96067 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT SHASTA |
| Zip Code | 96067 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.