Organization
LOWER UMPQUA HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHON CHIVERS (ADMINISTRATOR)
(541) 271-2171
Entity
Organization
Contact information
Practice address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-6322
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-6380
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247171
—
OR
01
—
3812371
NCPDP NUMBER
OR
Enumeration date
10/17/2006
Last updated
10/31/2024
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