OrganizationActive
Department of State Hospitals
NPI 1124078704 · Psychiatric Hospital · Coalinga, CA
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
Practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone: (559) 935-4300
Fax: (559) 935-7118
Approximate (ZIP-level) locationGet directions
Mailing address
1215 O St # Ms -3
Sacramento, CA 95814-5804
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.