BANDON COMMUNITY HEALTH CENTER (NPI# 1033348289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033348289 |
| Entity Type | Organization |
| Organization Name | BANDON COMMUNITY HEALTH CENTER |
| Practice Address |
1010 1st St Se Bandon OR 97411-9301 |
| Practice Telephone | 5413472529 |
| Practice Fax Number | 5413479196 |
| Mailing Telephone | 5413472529 |
| Mailing Fax Number | 5413479196 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | MS. LINDA S MAXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5413472529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
23131 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BANDON COMMUNITY HEALTH CENTER | 1010 Se First St Ste 110, Bandon, OR 97411 |
| Street Address |
1010 1ST ST SE |
| City | BANDON |
| State | OR |
| Zip Code | 97411-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346277027 | Henry H. Holmes | Family Medicine | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 | 2006-06-27 |
| 1427594977 | Coast Community Health Clinic | Clinic/Center | 1010 1st St Se, Bandon, OR 97411-9301 | 2017-01-09 |
| 1609123298 | Valerie B Lodge | Nurse Practitioner | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 | 2012-08-14 |
| 1639232978 | Laura Franklin | Registered Nurse | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 | 2006-12-18 |
| 1326151895 | Mariarose M Shanahe | Counselor | 1010 1st St Se, Suite 265, Bandon, OR 97411-9301 | 2006-08-17 |
| 1588699292 | Richard Kelly Staggenborg | Psychiatry & Neurology | 1010 1st St Se, Bandon, OR 97411-9301 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071009 | Stephen Hutchins Brown | Clinic/Center | 803 Ohio Ave Ne, Bandon, OR 97411-6333 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANDON COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.