Healthcare Provider Details

I. General information

NPI: 1972621803
Provider Name (Legal Business Name): DIGNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 03/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N COTTONWOOD ST
WOODLAND CA
95695-2585
US

IV. Provider business mailing address

20 N COTTONWOOD ST
WOODLAND CA
95695-2585
US

V. Phone/Fax

Practice location:
  • Phone: 530-666-8828
  • Fax: 530-666-8826
Mailing address:
  • Phone: 530-666-8828
  • Fax: 530-666-8826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number070000517
License Number StateCA

VIII. Authorized Official

Name: JOSEPH D'ANGINA
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 530-669-5372