Provider Demographics
NPI:1467560599
Name:DIGNITY COMMUNITY CARE
Entity Type:Organization
Organization Name:DIGNITY COMMUNITY CARE
Other - Org Name:METHODIST HOSPITAL OF SACRAMENTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOCIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-423-6100
Mailing Address - Street 1:3215 PROSPECT PARK DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6017
Mailing Address - Country:US
Mailing Address - Phone:916-861-1102
Mailing Address - Fax:916-861-7707
Practice Address - Street 1:7500 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-423-3000
Practice Address - Fax:916-423-6045
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIGNITY COMMUNITY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-28
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA030000064282N00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP40590GMedicaid
721561131OtherIRS - SP TAX ID
721561131958230000OtherWPS TRICARE
203949200OtherDEPT OF LABOR
CAHSC00590GMedicaid
CACGP021560Medicaid
CAZZR00590GMedicaid
CALTC55344GMedicaid
CA941580397OtherPRIOR SP TAX
ZZZA3406ZOtherBLUE SHIELD OF CA
ZZZA3406ZOtherBLUE SHIELD OF CA
CAHSC00590GMedicaid