DEPARTMENT OF STATE HOSPITALS NPI 1124078704

NPI Information

DEPARTMENT OF STATE HOSPITALS is a psychiatric hospital in Coalinga, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. DEPARTMENT OF STATE HOSPITALS NPI is 1124078704. The provider is registered as an organization entity type.
The provider Is Doing Business As Coalinga State Hospital.

The provider's business location address is:

24511 W JAYNE AVE
COALINGA, CA
ZIP 93210-503
Phone: (559) 935-4300
Fax: (559) 935-7118

The provider's authorized official is George Maynard .
The authorized official title is Administrative Deputy Director and has the following contact phone number (916) 651-3238.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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