Coalinga State Hospital

LBN: Department Of State Hospitals
Coalinga State Hospital is an health care organization with primary practice located at 24511 W Jayne Ave , Coalinga CA 93210-9503. The organization recently has 5 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Hospitals / Psychiatric Hospital is the primary health care specialty. Department Of State Hospitals can be contacted via phone (559) 935-4300, or through Maynard, George via phone (916) 651-3238.

Contact Information

Primary practice address
24511 W Jayne Ave Coalinga CA 93210-9503
Phone: (559) 935-4300
Fax: (559) 935-7118
Website:
Map and Directions
Authorized official contact:
Name: Maynard, George
Phone: (916) 651-3238

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / Psychiatric Hospital 283Q00000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X HPE47182 California

Profile Details

NPI number 1124078704
LBN Legal business name Department Of State Hospitals
DBA Doing business as Coalinga State Hospital
Authorized official Maynard, George
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Oct 19th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124078704 NPPES
Other 2117241 PK

Popular Providers