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Contact Information

COOS COUNTY OREGON
281 LACLAIR STREET
COOS BAY, OR97420
 Phone: 541-266-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
 

Ambulatory Family Planning Facility

261QA0005X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for COOS COUNTY OREGON

NPI Number 1063576908
LBN Legal business name COOS COUNTY OREGON
Authorized official SHERRILL LORENZO - (BUSINESS OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 02/28/2018 - More than a year ago
Identifiers
OR License # 092007202N7
OR Medicaid 045174
OR Medicaid 097386
OR Medicaid 320077
OR Other R0000PHCLT MASS IMMUNIZATION ROSTER BILLING
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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