BANDON COMMUNITY HEALTH CTR NPI 1013587484

NPI Information

  • NPI: 1013587484
  • Provider Name: BANDON COMMUNITY HEALTH CTR
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 312 TICHENOR ST
    PORT ORFORD, OR
    ZIP 97465
  • Phone: (541) 347-2529

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NPI Details

BANDON COMMUNITY HEALTH CTR is a federally qualified health center (fqhc) clinic center in Port Orford, OR. BANDON COMMUNITY HEALTH CTR NPI is 1013587484. The provider is registered as an organization entity type.

The provider's business location address is:

312 TICHENOR ST
PORT ORFORD, OR
ZIP 97465-672
Phone: (541) 347-2529
Fax: (541) 347-9196

The provider's authorized official is Linda S Maxon .
The authorized official title is Ceo and has the following contact phone number (541) 347-2529.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 6/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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