Basic Information
| Provider Information | |||||||||
| NPI: | 1164067930 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SANTA BARBARA COTTAGE HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 689 | ||||||||
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| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931020689 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053249936 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2400 BATH ST STE 102 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931054351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053249144 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2019 | ||||||||
| LastUpdateDate: | 11/15/2019 | ||||||||
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| AuthorizedOfficialLastName: | FELLOWS | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | ALEXANDER | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE VP & COO | ||||||||
| AuthorizedOfficialTelephone: | 8055697290 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | COTTAGE HEALTH | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.