Pine Street Clinic

LBN: Dignity Health
Pine Street Clinic is an health care organization with primary practice located at 408 Pine St , Mount Shasta CA 96067-2126. 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) 926-6111, or through Miranda, Kim via phone (530) 225-6121.

Contact Information

Primary practice address
408 Pine St Mount Shasta CA 96067-2126
Phone: (530) 926-6111
Fax: (530) 926-0517
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 1942632534
LBN Legal business name Dignity Health
DBA Doing business as Pine Street Clinic
Authorized official Miranda, Kim
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2013
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.

Request for update

Popular Providers