NPIMap

Organization Active NPI

Coast Valley Worship Center

Doing business as Coast Valley Substance Abuse Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Santa Maria, CA
National Provider Identifier
1184080574
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COAST VALLEY WORSHIP CENTER
Doing business as
Coast Valley Substance Abuse Treatment Center
Practice address
830 W Church St
Santa Maria, CA 93458-4222
Phone
(805) 332-3648
NPI assigned
Jan 14, 2016
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edwin Matthew Hamlin, MANPI 1184768798
Title
Executive Director
Phone
(805) 739-1512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

830 W Church St
Santa Maria, CA 93458-4222

Mailing address

830 W Church St
Santa Maria, CA 93458-4222
Phone (805) 332-3648

Other names 1

  • Coast Valley Substance Abuse Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coast Valley Substance Abuse Treatment Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1184080574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584222",
            "telephone_number": "805-332-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584222",
            "telephone_number": "805-332-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST VALLEY WORSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-739-1512",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Valley Substance Abuse Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.