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Organization

DIGNITY COMMUNITY CARE

Active
Parent organization
DIGNITY COMMUNITY CARE
Other names
Woodland Memorial Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIGNITY COMMUNITY CARE
Authorized official
JOSEPH D'ANGINA (CHIEF FINANCIAL OFFICER)
(530) 669-5372
Entity
Organization

Contact information

Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
(530) 666-7948
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(916) 861-1102
(916) 861-7707

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
030000115
CA
282N00000X
General Acute Care Hospital
Primary
030000115
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203952900
DEPT. OF LABOR - WC
CA
01
651191375
IRS - SP TAX ID
01
651191375956950000
WPS TRICARE
05
HSM00127H
CA
05
HSP40127H
CA
05
ZZR00127H
CA
01
ZZZC5701Z
BLUE SHIELD OF CA
Enumeration date
08/28/2006
Last updated
09/18/2019
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