BANDON COMMUNITY HEALTH CTR
NPI 1013587484
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Orford, OR

Active since June 29, 2021
312 TICHENOR ST, PORT ORFORD, OR 97465(541) 347-2529(541) 347-9196 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bandon Community Health Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANDON COMMUNITY HEALTH CTR (NPI 1013587484), doing business as Coast Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Port Orford, Oregon and active in the NPI registry since June 2021. The organization lists Linda S Maxon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013587484
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBANDON COMMUNITY HEALTH CTR
Location Address312 TICHENOR STPort Orford, OR 97465-8672
Mailing Address1010 1st St Se Ste 110Bandon, OR 97411-9301 · (541) 347-2529 · Fax (541) 347-9196
Fax(541) 347-9196
Organization SubpartYes
Authorized OfficialLinda S MaxonCeo · (541) 347-2529
Enumeration DateJune 29, 2021
NPPES CertifiedJune 8, 2021
NPI 1013587484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
312 TICHENOR ST, Port Orford, OR 97465

Other Names 1

Doing Business AsCoast Community Health Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bandon Community Health Ctr's NPI number?

The NPI number for Bandon Community Health Ctr is 1013587484. It was assigned to this organization in the NPPES registry on June 29, 2021. The provider is doing business as Coast Community Health Center.

Where is Bandon Community Health Ctr located?

Bandon Community Health Ctr is located at 312 Tichenor St, Port Orford, OR 97465. The listed phone number is (541) 347-2529.

What is Bandon Community Health Ctr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Bandon Community Health Ctr was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.