SUTTER COAST HOSPITAL NPI 1306853296

NPI Information

NPI: 1306853296
Provider Name: SUTTER COAST HOSPITAL
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR
CLIA Number: 38D2009628
Address: 555 5TH ST
BROOKINGS, OR
ZIP 97415
Phone: (541) 469-9205

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NPI Details

SUTTER COAST HOSPITAL is a primary care clinic center in Brookings, OR. SUTTER COAST HOSPITAL NPI is 1306853296. The provider is registered as an organization entity type.
The provider Is Doing Business As Sutter Coast Health Clinic @ Brookings-harbor.

The provider's business location address is:

555 5TH ST
BROOKINGS, OR
ZIP 97415-730
Phone: (541) 469-9205
Fax: (541) 469-9204

The provider's authorized official is Mitch Hanna .
The authorized official title is Ceo and has the following contact phone number (707) 464-8880.

The CLIA number assigned to this NPI record is 38D2009628 - other - hospital out-patient dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 10/10/2016.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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	CT3220	OTHER		RAILROAD RETIRE
2	MCR118288	MEDICARE UPIN
3	227691	MEDICAID	OREGON
4	840162000	OTHER	OREGON	BX REGENCE

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: 3/30/2025

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