Healthcare Provider Details

I. General information

NPI: 1164067930
Provider Name (Legal Business Name): SANTA BARBARA COTTAGE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 BATH ST STE 102
SANTA BARBARA CA
93105-4351
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-324-9144
  • Fax:
Mailing address:
  • Phone: 805-324-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ALEXANDER FELLOWS
Title or Position: EXECUTIVE VP & COO
Credential:
Phone: 805-569-7290