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Organization

BANDON COMMUNITY HEALTH CENTER

Active
Other names
Coast Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
COLENE HICKMAN (DIRECTOR OF FINANCE)
(541) 347-5259
Entity
Organization

Contact information

Practice address
648 CHETCO AVE, BROOKINGS, OR 97415-8010
(541) 347-2529
(458) 466-4284
Mailing address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529
(458) 466-4284

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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