Three Rivers Health Center - Coos Bay

LBN: Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
Three Rivers Health Center - Coos Bay is an health care organization with primary practice located at 150 S Wall St , Coos Bay OR 97420-3233. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dental Therapist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians can be contacted via phone (541) 435-7200, or through Reeves, John Randolph via phone (808) 214-7269.

Contact Information

Primary practice address
150 S Wall St Coos Bay OR 97420-3233
Phone: (541) 435-7200
Fax: (541) 888-0025
Website:
Map and Directions
Authorized official contact:
Name: Reeves, John Randolph MHA
Phone: (808) 214-7269

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1780755454
LBN Legal business name Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
DBA Doing business as Three Rivers Health Center - Coos Bay
Authorized official Reeves, John Randolph MHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780755454 NPPES
Oregon MEDICAID 165383
Oregon Other RP-0003971-CS
Oregon Other RP-0003971

Popular Providers