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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
1251E00000XHome Health Agency607HHA-17NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2880059665OTHERIRS - SP TAX ID

General Provider Information

NPI Number : 1245396951
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGNITY HEALTH
Provider Business Mailing Address
First Line : 18653 WEDGE PKWY
Second Line :
City : RENO
State : NV
Zip : 89511-3005
Country : US
Telephone Number : 775-770-3046
Fax Number : 775-770-3909
Provider Business Practice Location Address
First Line : 18653 WEDGE PKWY
Second Line :
City : RENO
State : NV
Zip : 89511-3005
Country : US
Telephone Number : 775-770-3046
Fax Number : 775-770-3909
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JOHN DEAKYNE
Credential :
Telephone Number : 775-770-6239
Provider Enumeration Date : 12/28/2006
Last Update Date : 03/27/2012

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Directions to “DIGNITY HEALTH ” Practice Location

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