New Friends Of Coos Bay, Llc

LBN: New Friends Of Coos Bay, Llc
New Friends Of Coos Bay, Llc is an health care organization with primary practice located at 955 Kentucky Ave , Coos Bay OR 97420-6807. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. New Friends Of Coos Bay, Llc can be contacted via phone (541) 808-9730, or through Mason, Carl via phone (503) 826-5190.

Contact Information

Primary practice address
955 Kentucky Ave Coos Bay OR 97420-6807
Phone: (541) 808-9730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Carl
Phone: (503) 826-5190

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1083281034
LBN Legal business name New Friends Of Coos Bay, Llc
DBA Doing business as
Authorized official Mason, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2021
Last updated Jun 8th, 2021 - about 3 years 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 1083281034 NPPES
Oregon MEDICAID 528759

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