OrganizationActive
Dignity Health
NPI 1942632534 · Rural Health Clinic/Center · Mount Shasta, CA
Provider details
- NPI number
- 1942632534
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Dignity Health
- Organization subpart
- Yes
- Authorized official
- Kim Miranda, Chief Financial Officer(530) 225-6121
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
408 Pine St
Mount Shasta, CA 96067-2126
Phone: (530) 926-6111
Fax: (530) 926-0517
Street-level locationGet directions
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other names (DBA / former)
- Doing business as
- Pine Street Clinic
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2016-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.