BANDON COMMUNITY HEALTH CTR
NPI 1013587484
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Orford, OR
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bandon Community Health Ctr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Bandon Community Health Ctr, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Bandon Community Health Ctr enrolled in Medicare?
Yes. Bandon Community Health Ctr is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bandon Community Health Ctr?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Bandon Community Health Ctr. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (4) and Family Practice (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bandon Community Health Ctr · NPI 1013587484
Federally Qualified Health Center (FQHC) organization in Port Orford, Oregon. Organization record, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1013587484 (Entity type: Organization)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Coast Community Health Center (Doing Business As)
- **Organization subpart:** Yes (part of Bandon Community Health Ctr)
- **Authorized official:** Linda Maxon, CEO
## Practice location
- **Address:** 312 TICHENOR ST, Port Orford, OR 97465-8672
- **Phone:** (541) 347-2529 · **Fax:** (541) 347-9196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (4), Family Practice (4); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1013587484/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1013587484) · Data from the CMS NPPES public registry.