Basic Information
| Provider Information | |||||||||
| NPI: | 1841357878 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SANTA BARBARA COUNTY PUBLIC HEALTH DEPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 N SAN ANTONIO RD | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815461 | ||||||||
| FaxNumber: | 8056815200 | ||||||||
| Practice Location | |||||||||
| Address1: | 220 S PALISADE DR | ||||||||
| Address2: | #104 | ||||||||
| City: | SANTA MARIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934548902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8057398718 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SNYDER | ||||||||
| AuthorizedOfficialFirstName: | ELIZABETH | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | ASSISTANT DEPUTY DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8056815252 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | X | Ambulatory Health Care Facilities | Clinic/Center | 261QF0400X | X | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) | 261QM1300X | X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | 261QF0050X | X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical | 261QP2300X | X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care | 261QR0200X | X | Ambulatory Health Care Facilities | Clinic/Center | Radiology | 261QU0200X | X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
ID Information
| ID | Type | State | Issuer | Description | HAP70105F | 01 | CA | HAP NUMBER | OTHER |