Organization · Type 2 NPI

Dignity Health

Rural Health Clinic/Center · Weed, CA

NPI number 1255609699 Active

Practice location

16337 Everhart Dr
Weed, CA 96094-9400

Call (530) 938-2297 Map

Fax (530) 938-0494

Mailing address

3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670-7956

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

NPI record

NPI: 1255609699
Entity type: Organization (Type 2)
Issued: Dec 13, 2011
Last updated: Oct 31, 2016
Status: Active
Subpart: Yes of Dignity Health

Other names

<unavail>
Mercy Lake Shastina Community Clinic · doing business as

Authorized official

Kim Miranda
Chief Financial Officer
(530) 225-6121

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255609699

Dignity Health's National Provider Identifier is 1255609699, issued on Dec 13, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Weed, CA. The record was last updated on Oct 31, 2016.