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Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Coos Bay, Oregon
NPI 1780755454

Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Coos Bay, OR. Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians practices in Coos Bay, OR. The NPI Number for Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is 1780755454 and holds a License No. (Oregon).

The current practice location address for Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is 150 S Wall St, Coos Bay, OR and can be reached out via phone at 541-435-7200 and via fax at 541-888-0025.

Location: 150 S Wall St, Coos Bay, OR, 97420-3233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780755454
Provider Name
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
Credential
Provider Entity Type
Organization
Address
150 S Wall St, Coos Bay, OR, 97420-3233
Phone Number
541-435-7200
Fax Number
541-888-0025
Provider Enumeration Date
11/13/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500838955 05 OR
165383 05 OR
RP-0003971-CS 01 OR OREGON BOARD OF PHARMACY - CONTROLLED SUBSTANCE
RP-0003971 01 OR OREGON BOARD OF PHARMACY - RETAIL DRUG OUTLET
institution
Provider Business Practice Location Address Details
Address
150 S Wall St
City
Coos Bay
State
Oregon
Zip
97420-3233
Phone Number
541-435-7200
Fax Number
541-888-0025
person
Provider Business Mailing Address Details
Address
150 S Wall St
City
Coos Bay
State
Oregon
Zip
97420-3233
Phone Number
541-435-7200
Fax Number
541-888-0025
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
()
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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