Coquille Valley Health
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Coquille, OR
NPI 1831070093 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1831070093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- COQUILLE VALLEY HEALTH
- Practice address
- 940 E 5TH St
Coquille, OR 97423-1666 - Phone
- (541) 396-3101
- Fax
- (541) 824-1702
- NPI assigned
- Sep 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Michael Lang
- Title
- Ceo
- Phone
- (541) 396-3101
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Coquille Valley Health
Locations
940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
940 E 5TH St
Coquille, OR 97423-1666
Mailing address
940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101
NPI Registry JSON
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1831070093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 E 5TH ST",
"city": "COQUILLE",
"state": "OR",
"postal_code": "974231666",
"telephone_number": "541-396-3101",
"fax_number": "541-824-1702"
},
{
"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": "974231666",
"telephone_number": "541-396-3101",
"fax_number": "541-824-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COQUILLE VALLEY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-396-3101"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coquille, OR
- City of Coquille
- Adam Clark
- Coastal Community Chiropractic LLC
- Coos Eye Centers, Inc.
- Coquille Valley Health
- Coquille Valley Health
- Coquille Valley Hospital District
- Coquille Valley Hospital District
- Coquille Valley Hospital District
- County of Coos Coos County School District R8
All providers in Coquille, OR · Medicare Defined Swing Bed Hospital Unit in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.