COALINGA STATE HOSPITAL NPI 1881139574

NPI Information

COALINGA STATE HOSPITAL 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. COALINGA STATE HOSPITAL NPI is 1881139574. The provider is registered as an organization entity type.

The provider's business location address is:

24511 W JAYNE AVE
COALINGA, CA
ZIP 93210-503
Phone: (559) 934-8009

The provider's authorized official is Robert Withrow .
The authorized official title is Medical Director and has the following contact phone number (559) 935-4304.

The CLIA number assigned to this NPI record is 05D2250777 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/4/2017.

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:

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