Provider Demographics
NPI:1477554152
Name:SANTA BARBARA COTTAGE HOSPITAL
Entity Type:Organization
Organization Name:SANTA BARBARA COTTAGE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT AND CHIEF FIN
Authorized Official - Prefix:MRS
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:C/O FINANCE DEPARTMENT
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105
Mailing Address - Country:US
Mailing Address - Phone:805-682-7111
Mailing Address - Fax:805-569-7472
Practice Address - Street 1:400 WEST PUEBLO
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-682-7111
Practice Address - Fax:805-569-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000140273Y00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT30396FMedicaid
CAZZT30396FMedicaid
CA05T396Medicare Oscar/Certification