| Bandon Community Health Center | |
|
1010 1st St Se Bandon OR 97411-9301 | |
| (541) 347-2529 | |
| (541) 347-9196 |
| Full Name | Bandon Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 1st St Se, Bandon, Oregon |
| Authorized Official Name and Position | Linda S Maxon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5413472529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bandon Community Health Center 1010 1st St Se Bandon OR 97411-9301 Ph: (541) 347-2529 | Bandon Community Health Center 1010 1st St Se Bandon OR 97411-9301 Ph: (541) 347-2529 |
| NPI Number | 1033348289 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 1557416757 |
|---|---|
| Medicare Enrollment ID | O20100430000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033348289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23131 (Oregon) | Primary |
| Provider Name | Tracy A Merriam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104572288 PECOS PAC ID: 6800784505 Enrollment ID: I20040305000082 |
| Provider Name | Elizabeth A Neeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679509145 PECOS PAC ID: 9234155425 Enrollment ID: I20051017001151 |
| Provider Name | Wendy I Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336176643 PECOS PAC ID: 5597784058 Enrollment ID: I20051115000242 |
| Provider Name | Shilo M Mckenzie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912235516 PECOS PAC ID: 3476695669 Enrollment ID: I20100127000061 |
| Provider Name | Michael J Burke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578501755 PECOS PAC ID: 0345378022 Enrollment ID: I20100518000221 |
| Provider Name | Laura Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639232978 PECOS PAC ID: 0749425049 Enrollment ID: I20130314000060 |
| Provider Name | Rebecca M Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104124445 PECOS PAC ID: 6204019854 Enrollment ID: I20150416000883 |
| Provider Name | Paul Charles Vitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831144674 PECOS PAC ID: 6901875608 Enrollment ID: I20150716002700 |
| Provider Name | Randell P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144640293 PECOS PAC ID: 5395968127 Enrollment ID: I20160720001412 |
| Provider Name | Cynthia Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346806395 PECOS PAC ID: 4082040522 Enrollment ID: I20200201000209 |
| Provider Name | Harold D Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285682195 PECOS PAC ID: 3274669890 Enrollment ID: I20200204001760 |
| Provider Name | Karen J Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215154232 PECOS PAC ID: 0446402549 Enrollment ID: I20200818001374 |
| Provider Name | Emily A Reinig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985879 PECOS PAC ID: 5991074817 Enrollment ID: I20200910001360 |
| Provider Name | Stephanie Ann Empson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053907006 PECOS PAC ID: 4183038573 Enrollment ID: I20210126001850 |
| Provider Name | Celyn I Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558862151 PECOS PAC ID: 9133559966 Enrollment ID: I20230123002731 |
| Provider Name | Kim N Bagby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672726 PECOS PAC ID: 8426317058 Enrollment ID: I20230227001084 |
| Provider Name | Ivy Christine Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346754702 PECOS PAC ID: 0446606065 Enrollment ID: I20231101003824 |
| Provider Name | Jenny Lascheck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700036670 PECOS PAC ID: 1153772454 Enrollment ID: I20240111001308 |
| Provider Name | Debra Doornbos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902117542 PECOS PAC ID: 3577689967 Enrollment ID: I20240118003010 |
| Provider Name | Michael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275563132 PECOS PAC ID: 4385534890 Enrollment ID: I20240412002344 |
Bandon Coastal Dental, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1097 Baltimore Ave, Bandon, OR 97411 Phone: 541-329-0550 | |
Bandon Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Elmira Ave Se Ste 201, Bandon, OR 97411 Phone: 541-329-1362 Fax: 541-329-1364 | |
Sharon C Strong Dmd Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Delaware Ave Se, Bandon, OR 97411 Phone: 541-347-5555 Fax: 541-347-5145 | |
Coast Community Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 1st St Se, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196 | |
Gregory A Aitchison Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Oregon Ave, Bandon, OR 97411 Phone: 541-347-9042 Fax: 541-347-4720 | |
Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 Elmira Ave Se, Suite 103, Bandon, OR 97411 Phone: 541-347-2111 Fax: 541-347-1212 |