NPIMap

Organization Active NPI

Coquille Valley Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Coquille, OR
National Provider Identifier
1164557179
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
13 140875 Issued in OR
Legal business name
COQUILLE VALLEY HOSPITAL DISTRICT
Practice address
940 E 5TH St
Coquille, OR 97423
Phone
(541) 396-3101
Fax
(541) 396-5760
NPI assigned
Feb 22, 2007
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Brian Joseph Ohearn
Title
Cno
Phone
(541) 396-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 13 140875 OR Primary

Addresses

Primary practice location

940 E 5TH St
Coquille, OR 97423

Mailing address

2645 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 396-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000070 OR Part A Provider - Critical Access Hospital 6901714591 Practice locations: Coquille, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164557179. Details of each certification follow.

Hospital certification: CCN 38Z312

Legal name
COQUILLE VALLEY HOSPITAL DISTRICT
Organization structure
OtherNon-profit
Incorporated
Dec 4, 1967 in OR
Enrollment address
940 E 5TH St
Coquille, OR 97423-1666
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Coquille Valley Hosp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

942 N Central Blvd
Coquille, OR 97423
Phone (541) 396-3627

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Lang Individual Corporate OfficerCeo Sep 25, 2017
W-2 Managing EmployeeCeo Sep 25, 2017
Doughery Mortgage LLC Organization, Minneapolis, MN LLC 5% Or Greater Mortgage Interest Dec 30, 2010 52%
Michele D Erickson Individual W-2 Managing EmployeeRevenue Cycle Director Mar 14, 2015
Coquille Valley Hospital District Organization, Coquille, OR 5% Or Greater Direct Ownership Interest Dec 4, 1967
5% Or Greater Mortgage Interest Dec 4, 1967 100%
5% Or Greater Security Interest Dec 4, 1967 100%
Operational/Managerial Control Dec 4, 1967 100%
James J Sinnott Individual Corporate DirectorBoard Member Sep 1, 1996
Daniel W Mast Individual Corporate DirectorBoard Member May 15, 2007

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coquille Valley Hospital DistrictCoquille, OR, CCN 381312 Hospital 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (100%)
5% Or Greater Security Interest (100%)
Operational/Managerial Control (100%)		 Dec 4, 1987
Dec 4, 1967
Dec 4, 1967
Dec 4, 1967

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Coquille Valley Hospital District
    • Critical Access Hospital
    • Coquille, OR
    • NPI 1730223967

    5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1164557179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-396-3101",
            "fax_number": "541-396-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 5TH ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "97423",
            "telephone_number": "541-396-3101",
            "fax_number": "541-396-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COQUILLE VALLEY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "OHEARN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "541-396-1052"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "13 140875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coquille, OR

Sources for this page

Verify at the official NPI Registry.