Three Rivers Health Center - Dental

LBN: Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians
Three Rivers Health Center - Dental is an health care organization with primary practice located at 1245 Fulton Ave , Coos Bay OR 97420-2895. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians can be contacted via phone (541) 888-6433, or through Reeves, John R via phone (808) 214-7269.

Contact Information

Primary practice address
1245 Fulton Ave Coos Bay OR 97420-2895
Fax:
Website:
Authorized official contact:
Name: Reeves, John R MHA

Profile Details

NPI number 1326889023
LBN Legal business name Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians
DBA Doing business as Three Rivers Health Center - Dental
Authorized official Reeves, John R MHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2024
Last updated Jun 5th, 2024 - about 3 months ago

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 1326889023 NPPES
Oregon MEDICAID 165383

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