Coast Valley Substance Abuse Treatment Center

LBN: Coast Valley Worship Center
Coast Valley Substance Abuse Treatment Center is an health care organization with primary practice located at 1125 E Clark Ave Ste A2, Santa Maria CA 93455-5111. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Coast Valley Worship Center can be contacted via phone (805) 739-1512, or through Hamlin, Edwin Matthew via phone (805) 739-1512.

Contact Information

Primary practice address
1125 E Clark Ave Ste A2 Santa Maria CA 93455-5111
Phone: (805) 739-1512
Fax: (805) 739-2855
Website:
Map and Directions
Authorized official contact:
Name: Hamlin, Edwin Matthew
Phone: (805) 739-1512

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 420030AN California
Agencies / Case Management 251B00000X 420030BN California

Profile Details

NPI number 1336266386
LBN Legal business name Coast Valley Worship Center
DBA Doing business as Coast Valley Substance Abuse Treatment Center
Authorized official Hamlin, Edwin Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336266386 NPPES
California Other 60150 MEDI-CAL PROVIDER NUMBER
California Other 60180 MEDI-CAL PROVIDER NUMBER

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