Coastal Family Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COASTAL FAMILY HEALTH CENTER

Doing business as

Community Health Center of Clatskanie

Practice address

401 SW Belair Dr
Clatskanie, OR 97016-7415

Phone

(503) 325-8315

Fax

(503) 468-0193

NPI assigned

May 22, 2014

Last updated

Oct 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL FAMILY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

James Coffee

Title

Ceo

Phone

(503) 325-8315

Specialties & licenses 1

Addresses

Other names 1

• Community Health Center of Clatskanie Doing business as

Part of

Clatskanie School Based Health Center

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1710399977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971030239",
            "telephone_number": "503-325-8315",
            "fax_number": "503-468-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW BELAIR DR",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970167415",
            "telephone_number": "503-325-8315",
            "fax_number": "503-468-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL FAMILY HEALTH CENTER",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-325-8315"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Center of Clatskanie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clatskanie of Olympus, LLC
• Clatskanie Rural Fire Protection District
• Clatskanie School Based Health Center
• Clatskanie School District
• Clatskanie School District 6J
• Coastal Family Health Center (Clatskanie School Based Health Center)
• Connie M. Davis, CPNP
• Larry Allen Davis, PT
• William Anthony Dennis-Leigh, PA-C
• Lanay Eastman

• Federally Qualified Health Center (FQHC) in Clatskanie, OR
• Providers in Clatskanie, OR by specialty
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.