COASTAL FAMILY HEALTH CENTER (NPI# 1710399977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710399977 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER |
| Other Organization Name | COMMUNITY HEALTH CENTER OF CLATSKANIE |
| Practice Address |
401 Sw Belair Dr Clatskanie OR 97016-7415 |
| Mailing Address |
Po Box 239 Astoria OR 97103-0239 |
| Practice Telephone | 5033258315 |
| Practice Fax Number | 5034680193 |
| Mailing Telephone | 5033258315 |
| Mailing Fax Number | 5034680193 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | JAMES COFFEE (CEO) |
| Authorized Official Telephone | 5033258315 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL FAMILY HEALTH CENTER |
| 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 |
|---|---|
| Community Health Center of Clatskanie | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801284914 | Coastal Family Health Center | Clinic/Center | 471 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2014-12-26 |
| 1942369772 | Coastal Family Health Center | Clinic/Center | 2158 Exchange Street, Suite 304, Astoria, OR 97103-3419 | 2006-12-07 |
| 1578578290 | Coastal Family Health Center | Clinic/Center | Coastal Family Health Center, 5052 Ste A, Long Beach, MS 39560 | 2006-07-30 |
| 1487686580 | Coastal Family Health Center | Clinic/Center | 23457a Central Drive, Saucier, MS 39574 | 2006-07-07 |
| 1417988916 | Coastal Family Health Center | Clinic/Center | 6602 Orange Grove Road, Moss Point, MS 39563 | 2006-07-05 |
| 1124288501 | Coastal Family Health Center | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2008-06-10 |
| 1225298607 | Coastal Family Health Center | Clinic/Center | 683 Division St, Biloxi, MS 39530-2213 | 2008-06-10 |
| 1619908118 | Coastal Family Health Center | Clinic/Center | 10828 Highway 57, Vancleave, MS 39565 | 2006-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL FAMILY HEALTH CENTER | 1046 Division St, Biloxi, MS 39530-2935 |
| Oregon Corporations, Companies and Business Names | COASTAL FAMILY HEALTH CENTER | 2158 Exchange St #304, Astoria, OR 97103 |
| Street Address |
401 SW BELAIR DR |
| City | CLATSKANIE |
| State | OR |
| Zip Code | 97016-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053732677 | Carol Opheikens | Registered Nurse | 401 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2013-12-27 |
| 1578000345 | Yakima Valley Farm Workers Clinic | Clinic/Center | 401 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912373499 | Tiamia Duckett | Counselor | 8715 Sw Center St, Tigard, OR 97016 | 2015-08-19 |
| 1386047231 | Kristen Ann Jepson | Dental Hygienist | 400 S.w. Belair Drive, Clatskanie, OR 97016 | 2014-10-07 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1740504422 | Clatskanie Family Medical Clinic, Inc. | Physician Assistant | 401 Belair Drive, Clatskanie, OR 97016 | 2010-03-24 |
| 1316158215 | Sheila Marie Landis | Chiropractor | 50 Nw 4th St, Clatskanie, OR 97016 | 2007-05-24 |
| 1669696308 | Cecelia W Sanders | Social Worker | 555 Sw Bryant, Clatskanie, OR 97016 | 2007-04-12 |
| 1528116175 | Clatskanie Rural Fire Protection District | Ambulance | 280 Se Third St., Clatskanie, OR 97016 | 2007-01-08 |
| 1578587192 | James H. Tyack Dmd PC | Dentist | 400 Sw Bel Air Dr, Clatskanie, OR 97016 | 2006-07-27 |
| 1699799973 | James Hal Tyack | Dentist | 400 Sw Bel Air Dr., Clatskanie, OR 97016 | 2006-07-27 |
| 1841255197 | Gregory Reed Mann | Dentist | 400 Sw Belair Drive, Clatskanie, OR 97016 | 2006-04-19 |
| Find all providers in zip 97016 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801284914 | Coastal Family Health Center | Clinic/Center | 471 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2014-12-26 |
| 1578000345 | Yakima Valley Farm Workers Clinic | Clinic/Center | 401 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2017-01-31 |
| 1871971879 | Clatskanie School Based Health Center | Clinic/Center | 471 Sw Belair Dr, Clatskanie, OR 97016-7415 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 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 | CLATSKANIE |
| Zip Code | 97016 |
Please comment or provide details below to improve the information on COASTAL FAMILY HEALTH CENTER.
| 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.