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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780755454 | NPPES |
| Oregon | MEDICAID | 165383 | |
| Oregon | Other | RP-0003971-CS | |
| Oregon | Other | RP-0003971 |
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