BANDON COMMUNITY HEALTH CTR (NPI# 1598301251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598301251 |
| Entity Type | Organization |
| Organization Name | BANDON COMMUNITY HEALTH CTR |
| Other Organization Name | AUBORN CENTER FOR WELLNESS |
| Practice Address |
716 Highway 101 Port Orford OR 97465-8672 |
| Mailing Address |
1010 1st St Se Ste 110 Bandon OR 97411-9301 |
| Practice Telephone | 5413472529 |
| Mailing Telephone | 5413472529 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | LINDA S MAXON (CEO) |
| Authorized Official Telephone | 5413472529 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANDON COMMUNITY HEALTH CTR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Auborn Center for Wellness | Other Name - Individual/Organization |
| Street Address |
716 HIGHWAY 101 |
| City | PORT ORFORD |
| State | OR |
| Zip Code | 97465-8672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862936 | Coast Community Health Center | Pharmacy | 716 Highway 101, Port Orford, OR 97465-8672 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615564 | Joan Anne Mcnerlin | Technician | 42078 Blanchard Rd, Port Orford, OR 97465 | 2019-08-23 |
| 1326605692 | Port Orford- Langlois School District | Local Education Agency (LEA) | 45525 Hwy 101, Port Orford, OR 97465 | 2019-05-22 |
| 1295869584 | Port Orford Community Ambulance Inc | Ambulance | 552 19th St, Port Orford, OR 97465 | 2007-03-16 |
| 1568605103 | Janine Jason | Pediatrics | 42338 Parkwood Dr, Port Orford, OR 97465-9528 | 2009-04-13 |
| 1164069951 | Tamara Lynn Johnson | Dietitian, Registered | 525 Madrona Ave, Port Orford, OR 97465-9552 | 2019-11-29 |
| 1164446589 | Thomas E. Pitchford IIi | General Practice | 525 Madrona Avenue, Port Orford, OR 97465-9552 | 2006-07-27 |
| 1811939093 | Curry Health District | Clinic/Center | 525 Madrona St, Port Orford, OR 97465-9552 | 2006-06-12 |
| 1265478549 | Sandra P. Johnson | Nurse Practitioner | 525 Madrona St, Port Orford, OR 97465-9552 | 2006-06-22 |
| 1588175665 | Roger Donald Rasmussen | Registered Nurse | 17 Hamlet St, Port Orford, OR 97465-9578 | 2017-10-17 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORFORD |
| Zip Code | 97465 |
Please comment or provide details below to improve the information on BANDON COMMUNITY HEALTH CTR.
| 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.