Provider Demographics
NPI:1134691736
Name:DIGNITY COMMUNITY CARE
Entity Type:Organization
Organization Name:DIGNITY COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR EVP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-438-5535
Mailing Address - Street 1:185 BERRY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1773
Mailing Address - Country:US
Mailing Address - Phone:415-438-5500
Mailing Address - Fax:415-438-5724
Practice Address - Street 1:185 BERRY ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1773
Practice Address - Country:US
Practice Address - Phone:415-438-5500
Practice Address - Fax:415-438-5724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health