Coquille Valley Health | |
2699 N 17th St Coos Bay OR 97420-2134 | |
(541) 266-3600 | |
(541) 824-1702 |
Full Name | Coquille Valley Health |
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Speciality | Orthopaedic Surgery |
Location | 2699 N 17th St, Coos Bay, Oregon |
Authorized Official Name and Position | Jeffrey M Lang (CEO) |
Authorized Official Contact | 5413963101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coquille Valley Health Po Box 374 Coquille OR 97423-0374 Ph: (541) 396-7984 | Coquille Valley Health 2699 N 17th St Coos Bay OR 97420-2134 Ph: (541) 266-3600 |
NPI Number | 1376374967 |
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Provider Enumeration Date | 08/13/2024 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 2567902182 |
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Medicare Enrollment ID | O20240910003766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376374967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Provider Name | Jason S Bell |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1336136647 PECOS PAC ID: 1456424332 Enrollment ID: I20080725000284 |
Provider Name | Shaun M Hobson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356388458 PECOS PAC ID: 5890720619 Enrollment ID: I20100818000301 |
Provider Name | Jeffrey K Bert |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1871540252 PECOS PAC ID: 2264467083 Enrollment ID: I20100818000326 |
Provider Name | Garry T Vallier |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376551424 PECOS PAC ID: 5294731832 Enrollment ID: I20121019000068 |
Provider Name | Laura Franklin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639232978 PECOS PAC ID: 0749425049 Enrollment ID: I20130314000060 |
Provider Name | Wesley J Johnson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598758880 PECOS PAC ID: 7113922501 Enrollment ID: I20150825005842 |
Provider Name | Gabriela Leon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568918563 PECOS PAC ID: 9638456882 Enrollment ID: I20170426001012 |
Provider Name | Maria Socorro Miel Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265607295 PECOS PAC ID: 0749583326 Enrollment ID: I20180129000646 |
Provider Name | Patrick J Edwards |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851351191 PECOS PAC ID: 7416976964 Enrollment ID: I20180214001027 |
Provider Name | Veronica L Simmonds |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801004445 PECOS PAC ID: 8022202753 Enrollment ID: I20190301001247 |
Provider Name | Mary Lou Freitag |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962090621 PECOS PAC ID: 5991119141 Enrollment ID: I20210128002356 |
Provider Name | Heidi Hanst |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1174181325 PECOS PAC ID: 8921335787 Enrollment ID: I20240820003410 |
Proactive Nutrition & Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Laurel Ave, Coos Bay, OR 97420 Phone: 727-409-0016 | |
Waterfall Clinic, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 S 11th St, Coos Bay, OR 97420 Phone: 541-756-6232 Fax: 541-756-6234 | |
Dr. King Scope Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-269-7358 |