<Unavail>

LBN: Coquille Indian Tribe
<Unavail> is an health care organization with primary practice located at 630 Miluk Dr , Coos Bay OR 97420-7728. The organization recently has 9 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Coquille Indian Tribe can be contacted via phone (541) 888-9494, or through Rich, Charise via phone (541) 888-9494.

Contact Information

Primary practice address
630 Miluk Dr Coos Bay OR 97420-7728
Phone: (541) 888-9494
Fax: (541) 888-4435
Website:
Map and Directions
Authorized official contact:
Name: Rich, Charise
Phone: (541) 888-9494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Null
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Null
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Null
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Null
Dental Providers / General Practice 1223G0001X Null
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Oregon
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X Null
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Null
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X Null

Profile Details

NPI number 1376592287
LBN Legal business name Coquille Indian Tribe
DBA Doing business as <Unavail>
Authorized official Rich, Charise
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Sep 28th, 2026 - about last week

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376592287 NPPES
Oregon MEDICAID 165031

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