SOUTHERN COOS HEALTH DISTRICT (NPI# 1588684484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588684484 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COOS HEALTH DISTRICT |
| Practice Address |
900 11th St Se Bandon OR 97411-9114 |
| Mailing Address |
900 11th St Se Bandon OR 97411 |
| Practice Telephone | 5413472426 |
| Practice Fax Number | 5413473923 |
| Mailing Telephone | 5413472426 |
| Mailing Fax Number | 5413473923 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES A WATHEN (CEO) |
| Authorized Official Telephone | 5413472426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
140809 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000153 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417094145 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2007-01-31 |
| Street Address |
900 11TH ST SE |
| City | BANDON |
| State | OR |
| Zip Code | 97411-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417094145 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2007-01-31 |
| 1760552483 | Mark Andreas Pasternak | Family Medicine | 900 11th St Se, Bandon, OR 97411-9114 | 2006-11-09 |
| 1538239280 | Stephen Roy Kelly | Nurse Anesthetist, Certified Registered | 900 11th St Se, Bandon, OR 97411-9114 | 2006-11-09 |
| 1891705299 | Kenneth Robert Bates | Hospitalist | 900 11th St Se, Bandon, OR 97411-9114 | 2006-08-08 |
| 1184632366 | Megan M Holland | Family Medicine | 900 11th St Se, Bandon, OR 97411-9114 | 2006-08-04 |
| 1821012758 | Kathleen Marie Kelly | Nurse Anesthetist, Certified Registered | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417094145 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
| 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.