COALINGA STATE HOSPITAL
NPI 1780181222
Clinic/Center - Prison Health in Coalinga, CA

Active since April 11, 2018
24511 W JAYNE AVE, COALINGA, CA 93210(559) 935-4300 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coalinga State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COALINGA STATE HOSPITAL (NPI 1780181222) is a healthcare organization registered as a prison health in Coalinga, California and active in the NPI registry since April 2018. The organization lists Jeoung Park, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1780181222
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameDEPARTMENT OF STATE HOSPITAL COALINGA
Location Address24511 W JAYNE AVECoalinga, CA 93210-9516
Mailing Address24511 W Jayne AveCoalinga, CA 93210-9516 · (559) 935-4300
Organization SubpartNo
Authorized OfficialJeoung ParkClinical Psychologist · (559) 934-3201
Enumeration DateApril 11, 2018
NPI 1780181222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
24511 W JAYNE AVE, Coalinga, CA 93210

Other Names 1

Other NameCoalinga State Hospital

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Psychologist (Clinical)
24511 W JAYNE AVE
COALINGA, CA 93210
Psychologist (Clinical)
24511 W JAYNE AVE
COALINGA, CA 93210
Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Pharmacist
24511 W JAYNE AVE
COALINGA, CA 93210
Psychologist
24511 W JAYNE AVE, BOX 5000
COALINGA, CA 93210
Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Psychiatric Hospital
24511 W JAYNE AVE
COALINGA, CA 93210

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 Hospital Coalinga's NPI number?

The NPI number for Department Of State Hospital Coalinga is 1780181222. It was assigned to this organization in the NPPES registry on April 11, 2018. The provider is also known as Coalinga State Hospital.

Where is Department Of State Hospital Coalinga located?

Department Of State Hospital Coalinga is located at 24511 W Jayne Ave, Coalinga, CA 93210. The listed phone number is (559) 935-4300.

What is Department Of State Hospital Coalinga's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Department Of State Hospital Coalinga was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.