NPI Code Details Logo

NPI 1992735088

NPI 1992735088 : DIGNITY HEALTH : GILBERT, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992735088
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DIGNITY HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/04/2006
-----------------------------------------------------
    Last Update Date     |    06/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3555 S VAL VISTA DR 
-----------------------------------------------------
    City                 |    GILBERT
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85296-7323
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-275-8112
-----------------------------------------------------
    Fax                  |    779-803-8118
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    475 S DOBSON RD 
-----------------------------------------------------
    City                 |    CHANDLER
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85224-5605
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-275-8112
-----------------------------------------------------
    Fax                  |    779-803-8118
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF FINANCIAL OFFICER
-----------------------------------------------------
    Name                 |     DANIEL  MORISSETTE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    858-275-8112
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    H3972
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    282N00000X
-----------------------------------------------------
    Taxonomy Name        |    General Acute Care Hospital
-----------------------------------------------------
    License Number       |    H3972
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.