Mercy Medical Center Mt. Shasta

LBN: Dignity Health
Mercy Medical Center Mt. Shasta is an health care organization with primary practice located at 914 Pine St , Mount Shasta CA 96067-2143. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Dignity Health can be contacted via phone (530) 926-6111, or through Miranda, Kim via phone (530) 225-6121.

Contact Information

Primary practice address
914 Pine St Mount Shasta CA 96067-2143
Fax: (530) 225-7278
Website:
Authorized official contact:
Name: Miranda, Kim

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 230000015 California

Profile Details

NPI number 1518085430
LBN Legal business name Dignity Health
DBA Doing business as Mercy Medical Center Mt. Shasta
Authorized official Miranda, Kim
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jun 10th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518085430 NPPES
Other 050419B000000 CMS SECTION 1011
Other 721561129 CMS SECTION 1011
MEDICAID HSP40419I CMS SECTION 1011
Other ZZZC4704Z CMS SECTION 1011
Other 721561129960670000 CMS SECTION 1011
Other 721561129960670001 CMS SECTION 1011
MEDICAID HSP30419I CMS SECTION 1011

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