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Contact Information

CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
1245 FULTON AVE
COOS BAY, OR97420-2895
 Phone: 541-888-6433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
 

Dental Hygienist

124Q00000X
 

Dental Therapist

125J00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS

NPI # 1326889023
LBN Legal business name CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
Authorized official JOHN REEVES - (HEALTH ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2024
Last updated 06/05/2024 - About 2 years ago
Identifiers
OR Medicaid 165383
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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