Organization Active NPI

Central Oregon Intergovernmental Council (Coic)

  • Transportation Broker
  • Bend, OR
National Provider Identifier
1124426291
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
CENTRAL OREGON INTERGOVERNMENTAL COUNCIL (COIC)
Practice address
1250 NE Bear Creek Rd
Bend, OR 97701-5013
Phone
(541) 504-3310
Fax
(541) 389-5988
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Karen Friend
Title
Deputy Director Over Transportation
Phone
(541) 548-9543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1250 NE Bear Creek Rd
Bend, OR 97701-5013

Mailing address

334 NE Hawthorne Ave
Bend, OR 97701-4727
Phone (541) 548-8163

Other identifiers 1

IdentifierTypeStateIssuer
181996OtherORSTATE OF OREGON OHA MEDICAID PROVIDER NUMBER

Other names 1

  • Cascades East Ride Center (CERC) Doing business as

National Provider Directory

National Provider Directory

Locations

1250 NE Bear Creek Rd
Bend, OR 97701
Phone (541) 504-3310

334 NE Hawthorne Ave
Bend, OR 97701

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1124426291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NE HAWTHORNE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014727",
            "telephone_number": "541-548-8163",
            "fax_number": "541-923-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE BEAR CREEK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015013",
            "telephone_number": "541-504-3310",
            "fax_number": "541-389-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON INTERGOVERNMENTAL COUNCIL (COIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR OVER TRANSPORTATION",
        "authorized_official_telephone_number": "541-548-9543"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON OHA MEDICAID PROVIDER NUMBER",
            "identifier": "181996",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascades East Ride Center (CERC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.