COOS COUNTY OREGON NPI 1063576908

NPI Information

  • NPI: 1063576908
  • Provider Name: COOS COUNTY OREGON
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 281 LACLAIR STREET
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 266-6700

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NPI Details

COOS COUNTY OREGON is a public health or welfare in Coos Bay, OR. COOS COUNTY OREGON NPI is 1063576908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

281 LACLAIR STREET
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6700

The provider's authorized official is Dawn Broughton .
The authorized official title is Accounting Supervisor and has the following contact phone number (541) 266-6716.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 12/21/2006 and was last updated on 5/21/2025.

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
1171M00000XCase Manager/Care CoordinatorOREGONNo
2261QA0005XClinic/CenterAmbulatory Family Planning FacilityOREGONNo
3251K00000XPublic Health or Welfare092007202N7OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1320077MEDICAIDOREGON
2R0000PHCLTOTHEROREGONMASS IMMUNIZATION ROSTER BILLING
3045174MEDICAIDOREGON
4097386MEDICAIDOREGON

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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