Organization
DEPARTMENT OF STATE HOSPITALS
Active
Parent organization
DEPARTMENT OF STATE HOSPITALS
Other names
Department of State Hospitals-Atascadero
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF STATE HOSPITALS
Authorized official
GUADALUPE M ALONZO-DIAZ (ADMINISTRATIVE DEPUTY DIRECTOR)
(916) 654-2655
Entity
Organization
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
(805) 468-6011
Mailing address
1215 O ST # MS -3, SACRAMENTO, CA 95814-5804
(916) 651-8906
(916) 651-8908
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
150000498
CA
283Q00000X
Psychiatric Hospital
Primary
150000498
CA
310500000X
Mental Illness Intermediate Care Facility
150000498
CA
314000000X
Skilled Nursing Facility
150000498
CA
333600000X
Pharmacy
150000498
CA
3336L0003X
Long Term Care Pharmacy
150000498
CA
Other
Enumeration date
05/11/2006
Last updated
10/19/2021
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