Organization
SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES INC
Active
Organization
SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES INC
Active
Other names
SOUTH COAST HOSPICE INC, SOUTH COAST HOSPICE, South Coast Hospice & Palliative Care Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GARVEY (EXECUTIVE DIRECTOR)
(707) 533-7382
Entity
Organization
Contact information
Practice address
1620 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-0576
Mailing address
1620 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-0576
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1986-005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132220
—
OR
01
—
55693000
BLUE CROSS PROVIDER #
OR
01
—
J3986-01
PACIFIC SOURCE PROVIDER #
OR
Enumeration date
07/20/2005
Last updated
08/17/2026
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