COOS COUNTY CORRECTIONAL TREATMENT CENTER NPI 1538320528

NPI Information

  • NPI: 1538320528
  • Provider Name: COOS COUNTY CORRECTIONAL TREATMENT CENTER
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1975 MCPHERSON ST
    NORTH BEND, OR
    ZIP 97459
  • Phone: (541) 756-2020

Map and Directions

Get Directions

NPI Details

COOS COUNTY CORRECTIONAL TREATMENT CENTER is an addiction (substance use disorder) counselor in North Bend, OR. COOS COUNTY CORRECTIONAL TREATMENT CENTER NPI is 1538320528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1975 MCPHERSON ST
NORTH BEND, OR
ZIP 97459-482
Phone: (541) 756-2020
Fax: (541) 756-4401

The provider's authorized official is Kelly Church .
The authorized official title is Business Manager and has the following contact phone number (541) 396-3173.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/23/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)OREGONYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.