NPIMap

Organization Active NPI

Coos County Oregon

Doing business as Coos County Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Bend, OR
National Provider Identifier
1891935235
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COOS COUNTY OREGON
Doing business as
Coos County Mental Health
Practice address
1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Phone
(541) 756-2020
Fax
(541) 756-8982
NPI assigned
Feb 25, 2009
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Ginger Swan
Title
Director
Phone
(541) 756-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1975 McPherson St
Suite 2
North Bend, OR 97459-3482

Mailing address

1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Phone (541) 756-2020

Other identifiers 1

IdentifierTypeStateIssuer
500500169MedicaidOR

Other names 1

  • Coos County Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coos County Oregon5 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

1975 McPherson St
Ste 2
North Bend, OR 97459
Phone (541) 756-2020

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1891935235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MCPHERSON ST",
            "address_2": "SUITE 2",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593482",
            "telephone_number": "541-756-2020",
            "fax_number": "541-756-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MCPHERSON ST",
            "address_2": "SUITE 2",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593482",
            "telephone_number": "541-756-2020",
            "fax_number": "541-756-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOS COUNTY OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-756-2020"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500500169",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coos County Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.