NPIMap

Organization Active NPI

Coos County Oregon

  • Public Health or Welfare Agency
  • Coos Bay, OR
National Provider Identifier
1083407423
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COOS COUNTY OREGON
Practice address
281 Laclair St
Coos Bay, OR 97420-2988
Phone
(541) 266-6700
Fax
(541) 888-8726
NPI assigned
May 28, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COOS COUNTY OREGONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn Renee Broughton
Title
Accounting Supervisor
Phone
(541) 266-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

281 Laclair St
Coos Bay, OR 97420-2988

Mailing address

281 Laclair St
Coos Bay, OR 97420-2988
Phone (541) 266-6700

Other identifiers 1

IdentifierTypeStateIssuer
R0000PHCLTOtherORMEDICARE PTAN

Other names 1

  • Coos Health and Wellness Other name

National Provider Directory

National Provider Directory
Tax ID family
Coos County Oregon5 organizations share this tax ID, including this one
Part of
Coos County Oregon

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1083407423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6700",
            "fax_number": "541-888-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6700",
            "fax_number": "541-888-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOS COUNTY OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOS COUNTY OREGON",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "541-266-6716"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R0000PHCLT",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coos Health and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.