Three Rivers Health Center - Coos Bay | |
150 S Wall St Coos Bay OR 97420-3233 | |
(541) 435-7200 | |
(541) 435-7201 |
Full Name | Three Rivers Health Center - Coos Bay |
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Speciality | Clinic/center - Community Health |
Location | 150 S Wall St, Coos Bay, 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 |
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Three Rivers Health Center - Coos Bay 1245 Fulton Ave Coos Bay OR 97420-2895 Ph: (541) 888-6433 | Three Rivers Health Center - Coos Bay 150 S Wall St Coos Bay OR 97420-3233 Ph: (541) 435-7200 |
NPI Number | 1780755454 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780755454 | NPI | - | NPPES |
RP-0003971 | Other | OR | OREGON BOARD OF PHARMACY - RETAIL DRUG OUTLET |
165383 | Medicaid | OR | |
RP-0003971-CS | Other | OR | OREGON BOARD OF PHARMACY - CONTROLLED SUBSTANCE |
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