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DEPARTMENT OF STATE HOSPITALS NPI 1174573802


NPI Information

NPI: 1174573802
Provider Name: DEPARTMENT OF STATE HOSPITALS

Doing Business As: DEPARTMENT OF STATE HOSPITALS-ATASCADERO

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 05D0587042

Address:
10333 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422
Phone: (805) 468-2000
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DEPARTMENT OF STATE HOSPITALS is a psychiatric hospital in Atascadero, 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 1174573802. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of State Hospitals-atascadero.

The provider's business location address is:

10333 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422-808
Phone: (805) 468-2000
Fax: (805) 468-6011

The provider's authorized official is Guadalupe M Alonzo-diaz .
The authorized official title is Administrative Deputy Director and has the following contact phone number (916) 654-2655.

The CLIA number assigned to this NPI record is 05D0587042 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital150000498CALIFORNIANo
2310500000XIntermediate Care Facility, Mental Illness150000498CALIFORNIANo
3314000000XSkilled Nursing Facility150000498CALIFORNIANo
4333600000XPharmacy150000498CALIFORNIANo
53336L0003XPharmacyLong Term Care Pharmacy150000498CALIFORNIANo
6283Q00000XPsychiatric Hospital150000498CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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