Mercy Mt. Shasta Community Clinic

LBN: Dignity Health
Mercy Mt. Shasta Community Clinic is an health care organization with primary practice located at 912 Pine St , Mount Shasta CA 96067-2143. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Dignity Health can be contacted via phone (530) 926-5105, or through Miranda, Kim via phone (530) 225-6121.

Contact Information

Primary practice address
912 Pine St Mount Shasta CA 96067-2143
Phone: (530) 926-5105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Kim
Phone: (530) 225-6121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1568799500
LBN Legal business name Dignity Health
DBA Doing business as Mercy Mt. Shasta Community Clinic
Authorized official Miranda, Kim
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 12th, 2009
Last updated Oct 31st, 2016 - about 9 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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