Provider Demographics
NPI:1639510985
Name:VISTA HILL FOUNDATION
Entity Type:Organization
Organization Name:VISTA HILL FOUNDATION
Other - Org Name:VISTA HILL SMARTCARE RURAL INTEGRATED BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EMERY
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-514-5121
Mailing Address - Street 1:1012 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-2170
Mailing Address - Country:US
Mailing Address - Phone:760-788-9725
Mailing Address - Fax:760-788-9754
Practice Address - Street 1:1461 HOLLOW GLEN ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:JULIAN
Practice Address - State:CA
Practice Address - Zip Code:92036
Practice Address - Country:US
Practice Address - Phone:760-765-1223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health