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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1881179521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	2050 VIBORG RD
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93463-2220
Country	:	US
Telephone Number	:	805-686-3971
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 VIBORG RD STE 110
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93463-2272
Country	:	US
Telephone Number	:	805-686-3971
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT REVENUE CYCLE
Name	:	SANDRA C LOOD
Credential	:
Telephone Number	:	805-699-8028

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	03/29/2022

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