Healthcare Provider Details

I. General information

NPI: 1225263262
Provider Name (Legal Business Name): SANTA BARBARA COTTAGE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 GRAND AVENUE VILLA RIVIERA
SANTA BARBARA CA
93102
US

IV. Provider business mailing address

PO BOX 689 C/O FINANCE DEPARTMENT
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-568-5840
  • Fax: 805-568-5844
Mailing address:
  • Phone: 805-879-8964
  • Fax: 805-879-8945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number425801016
License Number StateCA

VIII. Authorized Official

Name: MRS. JOAN BRICHER
Title or Position: SR. VP FINANCE/CFO
Credential:
Phone: 805-879-8964