DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT – NPI #1912288432
Clinic/Center

DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT is an AHC clinic located in REDDING, CA. NPPES has assigned the NPI number 1912288432 to DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT on August 30, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT” is a dba name, the actual legal business name for this organization is DIGNITY HEALTH MEDICAL FOUNDATION. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Nov 18, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT below.

NPI Profile for
DIGNITY HEALTH MEDICAL FOUNDATION

NPI Number
1912288432
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIGNITY HEALTH MEDICAL FOUNDATION
Doing Business As (dba): DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT
Primary location
2510 AIRPARK DR STE 301
REDDING, CA 96001-2462
Phone: (916) 379-2948 Fax: (916) 858-7065
Mailing address
PO BOX 742413
LOS ANGELES, CA 90074-2413
Phone: (916) 379-2948 Fax: (916) 858-7065
Organization Subpart
Yes - DIGNITY HEALTH MEDICAL GROUP - NORTH STATE, A SERVICE OF DIGNITY HEALT is subpart of another organization.
Authorized Official
THERESA HYLEN
CHIEF FINANCIAL OFFICER
Phone: (916) 851-2559
Updated
Certification Date
Nov 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.