| Coquille Valley Hospital District | |
|
940 E 5th St Coquille OR 97423-1666 | |
| (952) 653-2565 | |
| (952) 653-2540 |
| Full Name | Coquille Valley Hospital District |
|---|---|
| Speciality | Family Medicine |
| Location | 940 E 5th St, Coquille, Oregon |
| Authorized Official Name and Position | Michele D Erickson (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5413967984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coquille Valley Hospital District 940 E 5th St Coquille OR 97423-1666 Ph: (952) 653-2565 | Coquille Valley Hospital District 940 E 5th St Coquille OR 97423-1666 Ph: (952) 653-2565 |
| NPI Number | 1922620558 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922620558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South West Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 N Central Blvd, Coquille, OR 97423 Phone: 541-329-0144 Fax: 541-329-0143 |