Healthcare Provider Details

I. General information

NPI: 1801140751
Provider Name (Legal Business Name): DIGNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 W COVELL BLVD
DAVIS CA
95616-5671
US

IV. Provider business mailing address

2440 W COVELL BLVD
DAVIS CA
95616-5671
US

V. Phone/Fax

Practice location:
  • Phone: 530-668-2646
  • Fax: 530-662-5120
Mailing address:
  • Phone: 530-668-2646
  • Fax: 530-662-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ALGER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 530-669-5348