Organization
PALLIATIVE CARE SERVICES, INC.
Active
Parent organization
SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES, INC.
Authorized official
LINDA JOY FURMAN GRILE (EXECUTIVE DIRECTOR)
(541) 269-2986
Entity
Organization
Contact information
Practice address
1610 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-7987
Mailing address
1620 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 269-7987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
PA01254
OR
364SA2200X
Adult Health Clinical Nurse Specialist
200770015CNS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024366
—
OR
Enumeration date
07/20/2005
Last updated
09/17/2008
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