<Unavail>

LBN: Dignity Health
<Unavail> is an health care organization with primary practice located at 625 N 6Th St , Phoenix AZ 85004-2155. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dignity Health can be contacted via phone (602) 406-0350, or through Leach, Mark via phone (602) 406-0353.

Contact Information

Primary practice address
625 N 6Th St Phoenix AZ 85004-2155
Phone: (602) 406-0350
Fax: (602) 406-0673
Website:
Map and Directions
Authorized official contact:
Name: Leach, Mark
Phone: (602) 406-0353

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X Y006423 Arizona
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1952775298
LBN Legal business name Dignity Health
DBA Doing business as <Unavail>
Authorized official Leach, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2015
Last updated Oct 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952775298 NPPES
Other 2156055 PK
MEDICAID 174414 PK

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