NPIMap

Organization Active NPI

Palliative Care Services, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Coos Bay, OR
National Provider Identifier
1861491813
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
PALLIATIVE CARE SERVICES, INC.
Practice address
1610 Thompson Rd
Coos Bay, OR 97420-2150
Phone
(541) 269-2986
Fax
(541) 269-7987
NPI assigned
Jul 20, 2005
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Linda Joy Furman Grile
Title
Executive Director
Phone
(541) 269-2986

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Physician Assistant 363A00000X PA01254 OR
Adult Health Clinical Nurse Specialist 364SA2200X 200770015CNS OR
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary

Addresses

Primary practice location

1610 Thompson Rd
Coos Bay, OR 97420-2150

Mailing address

1620 Thompson Rd
Coos Bay, OR 97420-2150
Phone (541) 269-2986

Other identifiers 1

IdentifierTypeStateIssuer
024366MedicaidOR

National Provider Directory

National Provider Directory
Part of
South Coast Hospice Palliative Care Services Inc

Locations

600 S State Route 69
Dewey, AZ 86327

1725 E Osborn Rd
Phoenix, AZ 85016
Phone (602) 274-9302

306 N Virginia St
Prescott, AZ 86301
Phone (928) 775-2290

801 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 775-2290

1610 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-2986

1620 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-2986

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1861491813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-269-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-269-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES, INC.",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "FURMAN GRILE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-269-2986"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01254",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OR",
            "license": "200770015CNS",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024366",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2008; 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.