Organization Name: | SOUTHERN COOS HEALTH DISTRICT |
NPI Number: | 1588684484 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A WATHEN (CEO) |
Mailing Address: | 900 11th St Se Bandon |
State: | OR US |
Postal Code: | 974119114 |
Phone Number: | 5413472426 |
Fax Number: | 5413473923 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 140809 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |