Organization
SOUTH COAST BILLING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINDRA KIRCHNER (MEDICAID BILLER)
(541) 266-4025
Entity
Organization
Contact information
Practice address
1350 TEAKWOOD AVE, COOS BAY, OR 97420-2537
(541) 266-4025
Mailing address
1350 TEAKWOOD AVE, COOS BAY, OR 97420-2537
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138109
—
OR
Enumeration date
12/21/2006
Last updated
08/22/2020
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