# COQUILLE VALLEY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1922620558
- **Authorized official:** MICHELE D ERICKSON (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (541) 396-7984

## Contact information

- **Practice address:** 940 E 5TH ST, COQUILLE, OR 97423-1666
- **Practice address phone:** (952) 653-2565
- **Practice address fax:** (952) 653-2540
- **Mailing address:** 940 E 5TH ST, COQUILLE, OR 97423-1666
- **Mailing address phone:** (952) 653-2565
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2020
- **Last updated:** 09/03/2020