Organization · Type 2 NPI

Dignity Health

Skilled Nursing Facility · Mount Shasta, CA

NPI number 1376535344 Active

Practice location

914 Pine St
Mount Shasta, CA 96067-2143

Fax (530) 926-9373

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	230000015 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

28 other providers at this address

NPI record

NPI: 1376535344
Entity type: Organization (Type 2)
Issued: Aug 16, 2005
Last updated: Jan 8, 2021
Status: Active
Subpart: Yes of Dignity Health

Other names

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Mercy Medical Center MT Shasta DP SNF · doing business as
Mercy Medical Center MT Shasta DP SNF · doing business as

Authorized official

Joe D'angina
Chief Financial Officer
(530) 225-6121

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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 1376535344

Dignity Health's National Provider Identifier is 1376535344, issued on Aug 16, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mount Shasta, CA. The record was last updated on Jan 8, 2021.