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Organization
BAY AREA HOSPITAL DISTRICT
Active
Organization
BAY AREA HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PATTERSON (CHIEF FINANCIAL OFFICER)
(541) 269-8130
Entity
Organization
Contact information
Practice address
3950 SHERMAN AVENUE, NORTH BEND, OR 97459-2872
(541) 269-5454
(541) 269-4665
Mailing address
3950 SHERMAN AVENUE, NORTH BEND, OR 97459-2872
(541) 269-5454
(541) 269-4665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13141024
OR
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019679
—
OR
01
—
3010
OHP MANAGED CARE
OR
01
—
H3814
MY ADVANTAGE MEDICARE HMO
OR
Enumeration date
10/18/2006
Last updated
03/15/2021
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