Department of State Hospitals
NPI 1124078704 · Psychiatric Hospital · Coalinga, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Department of State Hospitals is a Psychiatric Hospital organization in Coalinga, CA (NPI 1124078704).
Provider details
- NPI number
- 1124078704
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- George Maynard, Administrative Deputy Director(916) 651-3238
Specialties & taxonomies
Hospitals
- General Acute Care Hospital282N00000X
Hospitals
Nursing & Custodial Care Facilities
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Coalinga State Hospital
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Frequently asked questions
- What is Department of State Hospitals's NPI number?
- Department of State Hospitals's National Provider Identifier (NPI) is 1124078704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Department of State Hospitals?
- Department of State Hospitals is classified in the NPPES registry as Psychiatric Hospital (Hospitals).
- Where is Department of State Hospitals located?
- Department of State Hospitals's practice location on file with NPPES is 24511 W Jayne Ave, Coalinga, CA 93210-9503.
- What is Department of State Hospitals's phone number?
- The practice phone number listed in the NPPES registry for Department of State Hospitals is (559) 935-4300.
- Does Department of State Hospitals accept Medicare?
- Department of State Hospitals is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Department of State Hospitals?
- The authorized official listed on Department of State Hospitals's NPPES record is George Maynard, Administrative Deputy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Department of State Hospitals's NPI active?
- Yes — Department of State Hospitals's NPI (1124078704) is active in the NPPES registry as of the last update on 2021-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.