1225263262 NPI number — SANTA BARBARA COTTAGE HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225263262 NPI number — SANTA BARBARA COTTAGE HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANTA BARBARA COTTAGE HOSPITAL
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:
Provider Other Organization Name Type Code:
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:
1225263262
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 689
Provider Second Line Business Mailing Address:
C/O FINANCE DEPARTMENT
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93102-0689
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-879-8964
Provider Business Mailing Address Fax Number:
805-879-8945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1621 GRAND AVENUE
Provider Second Line Business Practice Location Address:
VILLA RIVIERA
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-568-5840
Provider Business Practice Location Address Fax Number:
805-568-5844
Provider Enumeration Date:
05/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BRICHER
Authorized Official First Name:
JOAN
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. VP FINANCE/CFO
Authorized Official Telephone Number:
805-879-8964

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  425801016 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: ZZT30396F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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