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Coquille Indian Tribe

NPI 1376592287ActiveOrganization· Clinic/Center· Coos Bay, OR

Clinic/Center in Coos Bay, Oregon, registered in NPPES in May 2006. The authorized official on file is Charise Rich, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and mdpp supplier - in-person mdpp supplier.

Overview

NPI1376592287
StatusActive
Entity typeOrganization
NPI issuedMay 8, 2006
Last updated in NPPESSep 28, 2026
Certified by providerSep 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——
Counselor, Addiction (Substance Use Disorder)101YA0400X——
Counselor, Mental Health101YM0800X——
Dentist, General Practice1223G0001X——
Family Medicine207Q00000X—OR
Internal Medicine, Addiction Medicine207RA0401X——
Physical Therapist225100000X——
Massage Therapist225700000X——
Nurse Practitioner, Psych/Mental Health363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OR); Mdpp Supplier - In-Person Mdpp Supplier (TX); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Opioid Treatment Program (Otp) (TX)

Medicare sources and data years

Other Clinic/Center providers in Coos Bay

All Clinic/Center providers in Oregon