COOS COUNTY OREGON NPI 1063576908

NPI Information

NPI: 1063576908
Provider Name: COOS COUNTY OREGON
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
281 LACLAIR STREET
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6700
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COOS COUNTY OREGON is a public health or welfare in Coos Bay, OR. COOS COUNTY OREGON NPI is 1063576908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

281 LACLAIR STREET
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6700

The provider's authorized official is Sherrill Lorenzo .
The authorized official title is Business Operations Manager and has the following contact phone number (541) 266-6757.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator			OREGON	No
2	251K00000X	Public Health or Welfare		092007202N7	OREGON	Yes
3	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility		OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	045174	MEDICAID	OREGON
2	R0000PHCLT	OTHER	OREGON	MASS IMMUNIZATION ROSTER BILLING
3	097386	MEDICAID	OREGON
4	320077	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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