Bandon Community Health Center
A Medicare group practice based in Port Orford, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1557416757), with 22 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557416757
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100430000431 | OR | Part B Supplier - Clinic/Group Practice | 1033348289 |
| O20140423001435 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1033348289 |
| O20220805002034 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1013587484 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bandon Community Health Center
- Primary Care Clinic/Center
- Bandon, OR
- NPI 1033348289
-
Bandon Community Health Ctr
dba Coast Community Health Center
- Federally Qualified Health Center (FQHC)
- Port Orford, OR
- NPI 1013587484
-
Bandon Community Health Ctr
- Federally Qualified Health Center (FQHC)
- Port Orford, OR
- NPI 1598301251
Practice locations
- Port Orford, OR3
- Bandon, OR2
Clinicians 22
Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (5).
-
Kim Bagby, APRN
- Family Nurse Practitioner
- Shepherdsville, KY
- NPI 1235672726
-
Amanda Blakely, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Redmond, OR
- NPI 1447094511
-
Christina Marie Brakebill, RN, FNP-BC
- Family Nurse Practitioner
- Bandon, OR
- NPI 1992133607
-
Stephanie Ann Empson, FNP
- Family Nurse Practitioner
- Bandon, OR
- NPI 1053907006
-
Laura Franklin, FNP
- Family Nurse Practitioner
- Coos Bay, OR
- NPI 1639232978
-
Cynthia Diane Gray, LCSW
- Mental Health Counselor
- Santa Cruz, CA
- NPI 1346806395
-
Kimberly Jean Gray, MS, LPC, CM
- Mental Health Counselor
- Eugene, OR
- NPI 1629110853
-
Celyn Ijeoma Hughes, FNP-BC, RN
- Family Nurse Practitioner
- Coos Bay, OR
- NPI 1558862151
-
Lindsay Rose Iannone, PA-C, MSPAS
- Physician Assistant
- Bandon, OR
- NPI 1053093963
-
Jenny Lascheck, LPC
- Counselor
- Bandon, OR
- NPI 1700036670
-
Harold D Lowry, MD
- Family Medicine Physician
- Port Orford, OR
- NPI 1285682195
-
Shilo Marie McKenzie, CNMNP
- Midwife
- Gold Beach, OR
- NPI 1912235516
-
Tracy Ann Merriam, LCSW
- Clinical Social Worker
- Bandon, OR
- NPI 1104572288
-
Elizabeth Anne Neeley, M.D.
- Internal Medicine Physician
- North Bend, OR
- NPI 1679509145
-
Karen Jane Olson, CFNP-APRN
- Family Nurse Practitioner
- Bandon, OR
- NPI 1215154232
-
Rachel Anne Rainey, LCSW
- Social Worker
- Bandon, OR
- NPI 1386266468
-
Diane Michele Reid, ARNP
- Family Nurse Practitioner
- Bandon, OR
- NPI 1609622349
-
Emily Anne Reinig, DO
- Family Medicine Physician
- Bandon, OR
- NPI 1467985879
-
Rebecca Marie Rice, LCSW
- Clinical Social Worker
- Reedsport, OR
- NPI 1104124445
-
Randell Paige Smith, FNP-BC
- Family Nurse Practitioner
- San Diego, CA
- NPI 1144640293
-
Michael Anthony Torres, MD, MBA
- Family Medicine Physician
- Coos Bay, OR
- NPI 1275563132
-
Paul C Vitt, DO
- Family Medicine Physician
- Coos Bay, OR
- NPI 1831144674
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.