Provider Demographics
NPI:1407400377
Name:SANTA BARBARA COTTAGE HOSPITAL
Entity Type:Organization
Organization Name:SANTA BARBARA COTTAGE HOSPITAL
Other - Org Name:COTTAGE CHILDREN'S MEDICAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:SVP & COO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TUFVESSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-879-8941
Mailing Address - Street 1:PO BOX 689
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-0689
Mailing Address - Country:US
Mailing Address - Phone:805-682-7111
Mailing Address - Fax:
Practice Address - Street 1:5333 HOLLISTER AVE STE 250
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-2466
Practice Address - Country:US
Practice Address - Phone:805-879-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COTTAGE HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-30
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty