1841357449 NPI number — SANTA BARBAR COUNTY PUBLIC HEALTH DEPT

Table of content: (NPI 1841357449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841357449 NPI number — SANTA BARBAR COUNTY PUBLIC HEALTH DEPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANTA BARBAR COUNTY PUBLIC HEALTH DEPT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PHYSICIANS' MEDICAL GROUP
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841357449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 N SAN ANTONIO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93110-1332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-681-5461
Provider Business Mailing Address Fax Number:
805-681-5200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 NORTH SAN ANTONIO ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5461
Provider Business Practice Location Address Fax Number:
805-681-5200
Provider Enumeration Date:
01/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
DEPUTY DIRECTOR
Authorized Official Telephone Number:
805-681-5252

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZZ81909Z . This is a "MEDI-CAL NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".