COQUILLE VALLEY HOSPITAL DISTRICT (NPI# 1164557179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164557179 |
| Entity Type | Organization |
| Organization Name | COQUILLE VALLEY HOSPITAL DISTRICT |
| Practice Address |
940 E 5th St Coquille OR 97423 |
| Mailing Address |
940 E 5th St Coquille OR 97423-1666 |
| Practice Telephone | 5413963101 |
| Practice Fax Number | 5413965760 |
| Mailing Telephone | 5413963101 |
| Mailing Fax Number | 5413965760 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | MR. JEFFREY LANG (CEO) |
| Authorized Official Telephone | 5413963101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 13 140875 | OR | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1922620558 | Coquille Valley Hospital District | Family Medicine | 940 E 5th St, Coquille, OR 97423-1666 | 2020-05-18 |
| Street Address |
940 E 5TH ST |
| City | COQUILLE |
| State | OR |
| Zip Code | 97423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810658 | Juli Schurmann | Nurse Practitioner | 940 E 5th St, Coquille, OR 97423-1666 | 2006-04-14 |
| 1922620558 | Coquille Valley Hospital District | Family Medicine | 940 E 5th St, Coquille, OR 97423-1666 | 2020-05-18 |
| 1497203194 | South West Internal Medicine LLC | General Practice | 940 E 5th St, East Wing, Coquille, OR 97423-1666 | 2016-09-12 |
| 1417312893 | Victoria Schmelzer | Nurse Anesthetist, Certified Registered | 940 E 5th St, Coquille, OR 97423-1666 | 2015-12-29 |
| 1588061048 | Felisha Miller | Nurse Practitioner | 940 E 5th St, Coquille, OR 97423-1666 | 2014-11-28 |
| 1780780619 | Rebecca Elizabeth Brisco | Physician Assistant | 940 E 5th St, Coquille, OR 97423-1699 | 2006-09-16 |
| 1003837410 | Michael Mstislavovich Ivanitsky | Orthopaedic Surgery | 940 E 5th St, Coquille, OR 97423-1699 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457919003 | Julie Ann Hage | Registered Nurse | 306s Irving, Coquile, OR 97423 | 2019-05-30 |
| 1730417106 | Pahls Dentistry PC | Dentist | 346 N. Central Blvd, Coquille, OR 97423 | 2009-11-24 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1942366687 | Douglas Deverne Day | Dentist | 346 N Central, Coquille, OR 97423 | 2006-12-28 |
| 1417040023 | County of Coos Coos County School District R8 | Local Education Agency (LEA) | 790 W 17th St, Coquille, OR 97423 | 2006-10-02 |
| 1689650673 | Douglas Gordon Crane | Internal Medicine | 940 East Fifth Street East Wing, Coquille, OR 97423 | 2005-12-21 |
| 1861945487 | Julian Andres Ospina | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2016-07-31 |
| 1326428475 | Kriti Choudhary | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2015-06-04 |
| 1538424346 | Paavani Atluri | Internal Medicine | 790 E 5th St, Coquille, OR 97423 | 2012-07-08 |
| 1801814769 | Glenn Laurence Levine | Surgery | 790 E 5th St, Coquille, OR 97423 | 2006-07-18 |
| Find all providers in zip 97423 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063857217 | Garland Perry | Medicare Defined Swing Bed Unit | 5985 Trail Ave Ne, Apt 202, Keizer, OR 97303-7567 | 2013-05-01 |
| 1770514481 | Morrow County Health District | Medicare Defined Swing Bed Unit | 564 E. Pioneer Drive, Heppner, OR 97836 | 2006-07-05 |
| 1063460095 | Lower Umpqua Hospital District | Medicare Defined Swing Bed Unit | 600 Ranch Road, Reedsport, OR 97467 | 2006-05-04 |
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1245237486 | Salem Health West Valley | Medicare Defined Swing Bed Unit | 525 Se Washington St, Dallas, OR 97338-2834 | 2005-07-01 |
| 1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
| 1609142595 | Peacehealth | Medicare Defined Swing Bed Unit | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-03-26 |
| 1902089634 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2007-12-17 |
| 1053509836 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 470 Ne A Street, Madras, OR 97741-1844 | 2007-10-05 |
| 1386830727 | Pioneer Memorial Hospital | Medicare Defined Swing Bed Unit | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2007-09-19 |
| Find all providers with the same taxonomy | ||||
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| 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.