Healthcare Provider Details

I. General information

NPI: 1609246461
Provider Name (Legal Business Name): DIGNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 SOLANO ST
CORNING CA
96021-2713
US

IV. Provider business mailing address

2550 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4327
US

V. Phone/Fax

Practice location:
  • Phone: 858-275-8112
  • Fax: 779-803-8118
Mailing address:
  • Phone: 858-275-8112
  • Fax: 779-803-8118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MORISSETTE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 858-275-8112