NPIMap

Organization Active NPI

Coast Valley Worship Center

Doing business as Coast Valley Substance Abuse Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lompoc, CA
National Provider Identifier
1568845543
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COAST VALLEY WORSHIP CENTER
Doing business as
Coast Valley Substance Abuse Treatment Center
Practice address
1133 N H St
Ste F
Lompoc, CA 93436-3368
Phone
(805) 739-1512
Fax
(805) 349-2855
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Matt Hamlin, MA,
Title
Executive Director
Phone
(805) 739-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1133 N H St
Ste F
Lompoc, CA 93436-3368

Mailing address

1133 N H St
Ste F
Lompoc, CA 93436-3368
Phone (805) 739-1512

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 4

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": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1568845543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N H ST",
            "address_2": "STE F",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934363368",
            "telephone_number": "805-739-1512",
            "fax_number": "805-349-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N H ST",
            "address_2": "STE F",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934363368",
            "telephone_number": "805-739-1512",
            "fax_number": "805-349-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST VALLEY WORSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-739-1512",
        "authorized_official_credential": "MA,"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "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 Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.