Provider Demographics
NPI:1881179521
Name:SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.
Entity Type:Organization
Organization Name:SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.
Other - Org Name:SANTA YNEZ PROFESSIONAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-699-8028
Mailing Address - Street 1:2050 VIBORG RD
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2220
Mailing Address - Country:US
Mailing Address - Phone:805-686-3971
Mailing Address - Fax:
Practice Address - Street 1:2040 VIBORG RD STE 110
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2272
Practice Address - Country:US
Practice Address - Phone:805-686-3971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center