<Unavail>
LBN: Coos County Oregon
<Unavail> is an health care organization with primary practice located at 281 Laclair Street , Coos Bay OR 97420. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Managed Care Organizations / Health Maintenance Organization. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Coos County Oregon can be contacted via phone (541) 266-6700, or through Broughton, Dawn Renee via phone (541) 266-6716.
Contact Information
Primary practice address
281 Laclair Street
Coos Bay OR 97420
Phone: (541) 266-6700
Fax: (541) 888-8726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon | |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Oregon | |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | Oregon |
Profile Details
| NPI number | 1811981053 |
|---|---|
| LBN Legal business name | Coos County Oregon |
| DBA Doing business as | <Unavail> |
| Authorized official | Broughton, Dawn Renee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | May 22nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811981053 | NPPES |
| Oregon | MEDICAID | 500500169 | |
| Oregon | MEDICAID | 500602110 |
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