Organization
SOUTHERN COOS HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONE J EEK (AUTHORIZED OFFICIAL - CFO)
(503) 544-6592
Entity
Organization
Contact information
Practice address
900 11TH ST SE, BANDON, OR 97411-9114
(541) 347-2426
(541) 347-3923
Mailing address
900 11TH ST SE, BANDON, OR 97411
(541) 347-2426
(541) 347-3923
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
140809
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000153
—
OR
Enumeration date
07/20/2006
Last updated
10/03/2024
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