| Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians | |
|
3757 Highway 101 Florence OR 97439-8993 | |
| (541) 997-6685 | |
| Not Available |
| Full Name | Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3757 Highway 101, Florence, Oregon |
| Authorized Official Name and Position | John Randolph Reeves (HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 8082147269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians Po Box 2000 Florence OR 97439-0076 Ph: (541) 997-6685 | Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians 3757 Highway 101 Florence OR 97439-8993 Ph: (541) 997-6685 |
| NPI Number | 1316788037 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316788037 | NPI | - | NPPES |
| 165383 | Medicaid | OR |
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