Coastal Family Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COASTAL FAMILY HEALTH CENTER

Practice address

2158 Exchange Street
Suite 304
Astoria, OR 97103-3419

Phone

(503) 325-8315

Fax

(503) 325-8602

NPI assigned

Dec 7, 2006

Last updated

Feb 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James K Coffee

Title

Ceo

Phone

(503) 325-8315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942369772. Details of each certification follow.

• CCN 381852 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 381852

Legal name

COASTAL FAMILY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 6, 2003

Last certification

Jan 6, 2003

Ownership / control type

For profit – partnership

Facility address

2158 Exchange Street Suite 304
Astoria, OR 97103

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1942369772",
    "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": "503-325-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 EXCHANGE STREET",
            "address_2": "SUITE 304",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033419",
            "telephone_number": "503-325-8315",
            "fax_number": "503-325-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clatsop County (Clatsop County Health & Human Services)
• Clatsop County (Clatsop County Health & Human Services)
• Clatsop County Child Abuse Assessment Center (The Lighthouse for Kids)
• Kent C Clawson
• Coastal Eye Care LLC
• April Cockcroft
• Blailr Cocking, OTRL, CHT
• Katharine Turner Coghill, PT
• Daniel Coker
• Columbia Lutheran Charities (Lower Columbia Hospice)

• Federally Qualified Health Center (FQHC) in Astoria, OR
• Providers in Astoria, 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 Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.