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NPI Code Detail

MEDICARE: DIGNITY HEALTH

MEDICARE: DIGNITY HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility120000184CA
2282N00000XGeneral Acute Care Hospital120000184CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZA1501ZOTHERBLUE SHIELD OF CALIF
2870692237933010000OTHERWPS TRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6870692237OTHERI.R.S.
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104981661
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGNITY HEALTH
Provider Business Mailing Address
First Line : PO BOX 119
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-0119
Country : US
Telephone Number : 858-275-8112
Fax Number : 779-803-8118
Provider Business Practice Location Address
First Line : 2215 TRUXTUN AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3602
Country : US
Telephone Number : 858-275-8112
Fax Number : 779-803-8118
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DANIEL MORISSETTE
Credential :
Telephone Number : 858-275-8112
Provider Enumeration Date : 12/26/2006
Last Update Date : 06/18/2025

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Directions to “DIGNITY HEALTH ” Practice Location

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