Organization
BANDON COMMUNITY HEALTH CTR
Active
Parent organization
BANDON COMMUNITY HEALTH CTR
Other names
Coast Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANDON COMMUNITY HEALTH CTR
Authorized official
LINDA S MAXON (CEO)
(541) 347-2529
Entity
Organization
Contact information
Practice address
312 TICHENOR ST, PORT ORFORD, OR 97465-8672
(541) 347-2529
(541) 347-9196
Mailing address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529
(541) 347-9196
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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