1518018191 NPI number — DIGNITY HEALTH

Table of content: MS. LINDA CUBELLIS M.ED., C.A.G.S., SLP (NPI 1033297106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518018191 NPI number — DIGNITY HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIGNITY HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518018191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 M STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERCED
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-275-8112
Provider Business Mailing Address Fax Number:
779-803-8118

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 MERCY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERCED
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95340-8319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-275-8112
Provider Business Practice Location Address Fax Number:
779-803-8118
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MORISSETTE
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
858-275-8112

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , with the licence number:  040000178 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 040000178 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HSD00444G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HSP40444I , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZC2404Z . This is a "BSCA - DOMINCAN CAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 383738197953400031 . This is a "TRICARE WPS" identifier . This identifiers is of the category "OTHER".
  • Identifier: RHM19998H , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 383738197 . This is a "FEDERAL TAX ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZZA2400Z . This is a "BSCA - COMMUNITY CAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSP40444H , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 383738197953400000 . This is a "TRICARE WPS" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSC00444H , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZR00444I , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HSC00444I , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZR00444H , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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