Coos County Oregon
NPI 1811981053ActiveOrganization· Clinic/Center· Coos Bay, OR
Clinic/Center in Coos Bay, Oregon, registered in NPPES in September 2005, part of Coos County. The authorized official on file is Dawn Renee Broughton, Accounting Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811981053 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Coos County |
| NPI issued | Sep 2, 2005 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Clinic/Center providers in Coos Bay
- 1336014802
- 1376592287