# COQUILLE VALLEY HEALTH

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

## Provider details

- **NPI number:** 1831070093
- **Authorized official:** JEFFREY MICHAEL LANG (CEO)
- **Authorized official phone:** (541) 396-3101

## Contact information

- **Practice address:** 940 E 5TH ST, COQUILLE, OR 97423-1666
- **Practice address phone:** (541) 396-3101
- **Practice address fax:** (541) 824-1702
- **Mailing address:** 940 E 5TH ST, COQUILLE, OR 97423-1666
- **Mailing address phone:** (541) 396-3101
- **Mailing address fax:** (541) 824-1702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 09/22/2025