Department Of State Hospitals
Psychiatric Hospital
24511 W Jayne Ave, Coalinga
California, 93210-9503
559-935-4300 559-935-7118
Department Of State Hospitals is a Psychiatric Hospital in Coalinga, California. It is located at 24511 W Jayne Ave, Coalinga and it's customer support contact number is 559-935-4300. The authorized person of Department Of State Hospitals is George Maynard who is Administrative Deputy Director of the pharmacy and his contact number is 916-651-3238. Department Of State Hospitals accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Department Of State Hospitals is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Pharmacy Details:
Department Of State Hospitals type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Department Of State Hospitals |
| Type: | Psychiatric Hospital |
| Location: | 24511 W Jayne Ave, Coalinga,
California, 93210-9503 |
| Phone: | 559-935-4300 |
| Fax: | 559-935-7118 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | George Maynard |
| Position: | Administrative Deputy Director |
| Contact Number: | 916-651-3238 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1124078704 |
| NPI Enumeration Date: | 12 May, 2006 |
| NPI Last Update On: | 19 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Department Of State Hospitals are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatric Hospital | | | Primary | |
| General Acute Care Hospital | | | Secondary | |
| Intermediate Care Facility, Mental Illness | | | Secondary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | HPE47182 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2117241 | Other | | Pk |
Medicare Enrollment:
Department Of State Hospitals is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9638174238 | O20081031000305 | Department Of State Hospitals | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1215 O St # Ms -3,
Sacramento, California |
| Zip: | 95814-5804 |
| Phone Number: | 916-651-8906 |
| Fax Number: | 916-651-8908 |
Patients can reach Department Of State Hospitals at
24511 W Jayne Ave, Coalinga, California or can
call on customer care at 559-935-4300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.