DIGNITY HEALTH NPI 1629291745

NPI Information

NPI: 1629291745
Provider Name: DIGNITY HEALTH

Doing Business As: ST. MARY'S DEPARTMENT OF MEDICINE MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
450 STANYAN ST
SAN FRANCISCO, CA
ZIP 94117
Phone: (415) 668-1000
Get Directions

DIGNITY HEALTH is a multi-specialty clinic center in San Francisco, CA. DIGNITY HEALTH NPI is 1629291745. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Mary's Department Of Medicine Medical Group.

The provider's business location address is:

450 STANYAN ST
SAN FRANCISCO, CA
ZIP 94117-079
Phone: (415) 668-1000
Fax: (415) 750-5899

The provider's authorized official is Eric Brettner .
The authorized official title is Chief Financial Officer and has the following contact phone number (415) 750-5726.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	220000071	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	721561126	OTHER		IRS - SP TAX ID
2	ZZZ27261Z	MEDICARE PIN	CALIFORNIA
3	ZZZ07805Z	MEDICARE PIN	CALIFORNIA
4	GR0050760	MEDICAID	CALIFORNIA
5	ZZZ05047Z	OTHER		BLUE SHIELD OF CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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