Provider Demographics
NPI:1255354429
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 VP FINANCE AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-569-7294
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:93102-0689
Mailing Address - Country:US
Mailing Address - Phone:805-879-8964
Mailing Address - Fax:805-879-8945
Practice Address - Street 1:320 W PUEBLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4311
Practice Address - Country:US
Practice Address - Phone:805-682-7111
Practice Address - Fax:805-569-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555512Medicare Oscar/Certification