St. Mary Medical Center C.A.R.E. Program

LBN: Dignity Health
St. Mary Medical Center C.A.R.E. Program is an health care organization with primary practice located at 1043 Elm Ave , Long Beach CA 90813-3271. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Dignity Health can be contacted via phone (562) 624-4900, or through Smith, Rachel via phone (562) 491-9929.

Contact Information

Primary practice address
1043 Elm Ave Long Beach CA 90813-3271
Fax: (562) 491-9128
Website:
Authorized official contact:
Name: Smith, Rachel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 930000012 California

Profile Details

NPI number 1619092046
LBN Legal business name Dignity Health
DBA Doing business as St. Mary Medical Center C.A.R.E. Program
Authorized official Smith, Rachel
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2007
Last updated Sep 23rd, 2013 - 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 1619092046 NPPES
California Other ZZZA0191Z BLUE SHIELD
California MEDICAID ZZT40191H BLUE SHIELD
California Other 870692255 BLUE SHIELD
California MEDICAID AYD000290 BLUE SHIELD
California Other 0022013 BLUE SHIELD

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