| Organization Name: | COQUILLE VALLEY HOSPITAL |
| NPI Number: | 1730223967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN LAUTERMILCH (CEO) |
| Mailing Address: | 940 East Fifth Street Coquille |
| State: | OR US |
| Postal Code: | 97423 |
| Phone Number: | 5413963101 |
| Fax Number: | 5413961783 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 02/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 140875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |