# COQUILLE VALLEY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164557179
- **Authorized official:** BRIAN JOSEPH OHEARN (CNO)
- **Authorized official phone:** (541) 396-1052

## Contact information

- **Practice address:** 940 E 5TH ST, COQUILLE, OR 97423
- **Practice address phone:** (541) 396-3101
- **Practice address fax:** (541) 396-5760
- **Mailing address:** 2645 N 17TH ST, COOS BAY, OR 97420-2134
- **Mailing address phone:** (541) 396-3101
- **Mailing address fax:** (541) 396-5760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 13 140875 | OR | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/03/2026