MEDICARE: SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	275N00000X	Medicare Defined Swing Bed Hospital Unit	050000057	CA

General Provider Information

NPI Number	:	1063435261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 689
Second Line	:	C/O FINANCE DEPARTMENT
City	:	SANTA BARBARA
State	:	CA
Zip	:	93102-0689
Country	:	US
Telephone Number	:	805-879-8964
Fax Number	:	805-879-8945

Provider Business Practice Location Address
First Line	:	2050 VIBORG RD
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93463-2220
Country	:	US
Telephone Number	:	805-688-6431
Fax Number	:	805-686-5561

Authorized Official
Title or Position	:	SENIOR VP FINANCE/CFO
Name	:	JOAN BRICHER
Credential	:
Telephone Number	:	805-569-7294

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/11/2008

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