COALINGA STATE HOSPITAL
NPI 1124078704
Psychiatric Hospital in Coalinga, CA
About Coalinga State Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COALINGA STATE HOSPITAL (NPI 1124078704) is a healthcare organization registered as a psychiatric hospital in Coalinga, California and active in the NPI registry since May 2006. The organization lists George Maynard, Administrative Deputy Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coalinga State Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
746Medicare enrollment records show 746 clinicians reassign Medicare billing to Coalinga State Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 746Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Department Of State Hospitals's NPI number?
The NPI number for Department Of State Hospitals is 1124078704. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Coalinga State Hospital.
Where is Department Of State Hospitals located?
Department Of State Hospitals is located at 24511 W Jayne Ave, Coalinga, CA 93210. The listed phone number is (559) 935-4300.
What is Department Of State Hospitals's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is Department Of State Hospitals enrolled in Medicare?
Yes. Department Of State Hospitals is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Department Of State Hospitals?
According to the CMS Revalidation Reassignment List (October 2026 release), 746 clinicians in 35 Medicare specialties reassign their Medicare billing to Department Of State Hospitals. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (350), Clinical Psychologist (133) and Internal Medicine (74). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Department Of State Hospitals accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 32 other insurers list Department Of State Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Department Of State Hospitals was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coalinga State Hospital · NPI 1124078704
Psychiatric Hospital organization in Coalinga, California. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1124078704 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Legal business name:** Department Of State Hospitals
- **Organization subpart:** No
- **Authorized official:** George Maynard, ADMINISTRATIVE DEPUTY DIRECTOR
## Practice location
- **Address:** 24511 W JAYNE AVE, Coalinga, CA 93210-9503
- **Phone:** (559) 935-4300 · **Fax:** (559) 935-7118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 746 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (350), Clinical Psychologist (133), Internal Medicine (74); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1124078704/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2021
- **Other identifiers:** Other 2117241
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Source: [NPI Profile](https://npiprofile.com/npi/1124078704) · Data from the CMS NPPES public registry.