PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC (NPI# 1083991772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083991772 |
| Entity Type | Organization |
| Organization Name | PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC |
| Practice Address |
21 N Adams St Coquille OR 97423-1858 |
| Mailing Address |
1950 Waite St North Bend OR 97459-1228 |
| Practice Telephone | 5419824156 |
| Practice Fax Number | 5417569015 |
| Mailing Telephone | 5417569014 |
| Mailing Fax Number | 5417569015 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2012-08-10 |
| Authorized Official Name | MR. DARREL MARTIN WOODRUFF (MEMBER MANAGER) |
| Authorized Official Telephone | 5419824156 |
| Authorized Official Credential | NASPE |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC | 770 East Main Street, Suite 413, Lehi, UT 84043 |
| Street Address |
21 N ADAMS ST |
| City | COQUILLE |
| State | OR |
| Zip Code | 97423-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355831 | Douglas Medical Equipment Supply | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457919003 | Julie Ann Hage | Registered Nurse | 306s Irving, Coquile, OR 97423 | 2019-05-30 |
| 1730417106 | Pahls Dentistry PC | Dentist | 346 N. Central Blvd, Coquille, OR 97423 | 2009-11-24 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1942366687 | Douglas Deverne Day | Dentist | 346 N Central, Coquille, OR 97423 | 2006-12-28 |
| 1417040023 | County of Coos Coos County School District R8 | Local Education Agency (LEA) | 790 W 17th St, Coquille, OR 97423 | 2006-10-02 |
| 1689650673 | Douglas Gordon Crane | Internal Medicine | 940 East Fifth Street East Wing, Coquille, OR 97423 | 2005-12-21 |
| 1861945487 | Julian Andres Ospina | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2016-07-31 |
| 1326428475 | Kriti Choudhary | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2015-06-04 |
| 1538424346 | Paavani Atluri | Internal Medicine | 790 E 5th St, Coquille, OR 97423 | 2012-07-08 |
| 1164557179 | Coquille Valley Hospital District | Medicare Defined Swing Bed Unit | 940 E 5th St, Coquille, OR 97423 | 2007-02-22 |
| Find all providers in zip 97423 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355831 | Douglas Medical Equipment Supply | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1205255882 | Sleep Health Now, LLC | Clinic/Center | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 | 2014-04-10 |
| 1578906582 | Somnorem Diagnostics LLC | Clinic/Center | 8130 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1845 | 2013-04-09 |
| 1740585876 | Northwest Sleep Services, LLC | Clinic/Center | 5060 Sw Philomath Blvd # 166, Corvallis, OR 97333-1044 | 2011-01-20 |
| 1437466612 | Mark T. Gabr, M.d., P.C. | Clinic/Center | 180 Ramsgate Sq. Se, Salem, OR 97302-5867 | 2010-09-09 |
| 1881912889 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2010-05-14 |
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| 1043535685 | Sleep Metric Systems, Inc. | Clinic/Center | 1810 Se 10th Ave Ste B, Portland, OR 97214-3549 | 2010-04-06 |
| 1225352776 | Coastal Diagnostic Testing Group LLC | Clinic/Center | 1810 Monroe St., Ste 14, North Bend, OR 97459-3447 | 2010-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.