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Coquille Indian Tribe
Clinic/Center in Coos Bay, Oregon
NPI 1376592287

Coquille Indian Tribe is a Clinic/Center based in Coos Bay, OR. Coquille Indian Tribe practices in Coos Bay, OR. The NPI Number for Coquille Indian Tribe is 1376592287 and holds a License No. (Oregon).

The current practice location address for Coquille Indian Tribe is 630 Miluk Dr, Coos Bay, OR and can be reached out via phone at 541-888-9494 and via fax at 541-888-4435. You can also correspond with Coquille Indian Tribe through the mailing address at PO BOX 3190, COOS BAY, OR - 97420-0407 (mailing address contact number: 541-888-9494).

Location: 630 Miluk Dr, Coos Bay, OR, 97420-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376592287
Provider Name
Coquille Indian Tribe
Credential
Provider Entity Type
Organization
Address
630 Miluk Dr, Coos Bay, OR, 97420-0407
Phone Number
541-888-9494
Fax Number
541-888-4435
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
165031 05 OR
261Q00000X 01 OR TAXONOMY
institution
Provider Business Practice Location Address Details
Address
630 Miluk Dr
City
Coos Bay
State
Oregon
Zip
97420-7728
Phone Number
541-888-9494
Fax Number
541-888-4435
person
Provider Business Mailing Address Details
Address
Po Box 3190
City
Coos Bay
State
Oregon
Zip
97420-0407
Phone Number
541-888-9494
Fax Number
541-888-4435
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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