MERCY MEDICAL CENTER MT SHASTA DP SNF
NPI 1376535344
Skilled Nursing Facility in Mount Shasta, CA

Active since August 16, 2005CLIA 05D0618411 · Accreditation
914 PINE ST, MOUNT SHASTA, CA 96067(530) 926-6111(530) 926-9373 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Medical Center Mt Shasta Dp Snf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY MEDICAL CENTER MT SHASTA DP SNF (NPI 1376535344) is a healthcare organization registered as a skilled nursing facility in Mount Shasta, California and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Joe D'angina, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1376535344
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIGNITY HEALTH
Location Address914 PINE STMount Shasta, CA 96067-2143
Mailing Address914 Pine StMount Shasta, CA 96067-2143 · (530) 926-6111 · Fax (530) 926-9373
Fax(530) 926-9373
Organization SubpartYes
Authorized OfficialJoe D'anginaChief Financial Officer · (530) 225-6121
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
NPI 1376535344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 230000015
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
914 PINE ST, Mount Shasta, CA 96067

Other Names 1

Doing Business AsMercy Medical Center Mt Shasta Dp Snf

Other Identifiers 3

Other721561129CA · Irs
Other721561129960670000CA · Wps-tricare
MedicaidLTC55282HCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0618411

Mercy Medical Center Mount Shasta · Mount Shasta, CA
Active · expires Jan 2, 2027
CLIA Number05D0618411
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorSean D. Pitman
Laboratory Phone(530) 926-9334
Laboratory LocationMercy Medical Center Mount Shasta914 Pine Street, Mount Shasta, CA 96067
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
914 PINE ST
MOUNT SHASTA, CA 96067
Nurse Anesthetist, Certified Registered
914 PINE ST
MOUNT SHASTA, CA 96067
Nurse Anesthetist, Certified Registered
914 PINE ST
MOUNT SHASTA, CA 96067
Family Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Obstetrics & Gynecology (Obstetrics)
914 PINE ST
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE ST, MERCY MEDICAL MT SHASTA
MT SHASTA, CA 96067
Emergency Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
914 PINE ST
MOUNT SHASTA, CA 96067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dignity Health's NPI number?

The NPI number for Dignity Health is 1376535344. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Mercy Medical Center Mt Shasta Dp Snf.

Where is Dignity Health located?

Dignity Health is located at 914 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-6111.

What is Dignity Health's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Dignity Health hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0618411) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dignity Health was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.