NPIMap

Organization Active NPI

Dignity Health

Doing business as Lassen Medical Clinic Ancillary Services

  • Radiology Clinic/Center
  • Red Bluff, CA
National Provider Identifier
1407348147
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIGNITY HEALTH
Doing business as
Lassen Medical Clinic Ancillary Services
Practice address
2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone
(530) 528-4450
Fax
(530) 527-3720
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Miranda
Title
Chief Financial Officer
Phone
(530) 225-6121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356

Mailing address

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 529-8000

Other names 1

  • Lassen Medical Clinic Ancillary Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1407348147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-529-8000",
            "fax_number": "530-529-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804356",
            "telephone_number": "530-528-4450",
            "fax_number": "530-527-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-225-6121"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lassen Medical Clinic Ancillary Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lassen Medical Clinic Ancillary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.