Organization
DEPARTMENT OF STATE HOSPITALS
Active
Organization
DEPARTMENT OF STATE HOSPITALS
Active
Parent organization
DEPARTMENT OF STATE HOSPITALS
Other names
Department of State Hospitals - Napa
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF STATE HOSPITALS
Authorized official
GEORGE MAYNARD (ADMINISTRATIVE DEPUTY DIRECTOR)
(916) 651-3238
Entity
Organization
Contact information
Practice address
2100 NAPA VALLEJO HWY, NAPA, CA 94558-6234
(707) 253-5000
(707) 253-5513
Mailing address
1215 O STREET, MS-3, DEPARTMENT OF STATE HOSPITALS - PCRS, SACRAMENTO, CA 95814
(916) 651-8906
(916) 651-8908
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
150000492
CA
283Q00000X
Psychiatric Hospital
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
150000492
CA
314000000X
Skilled Nursing Facility
150000492
CA
333600000X
Pharmacy
150000492
CA
3336L0003X
Long Term Care Pharmacy
150000492
CA
Other
Enumeration date
05/11/2006
Last updated
08/24/2021
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