SOUTH COAST SURGERY CENTER, LLC
NPI 1205889110
Clinic/Center - Ambulatory Surgical in Coos Bay, OR
About South Coast Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH COAST SURGERY CENTER, LLC (NPI 1205889110) is a healthcare organization registered as an ambulatory surgical in Coos Bay, Oregon and active in the NPI registry since May 2006. The organization lists Christopher Clarke, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Coast Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to South Coast Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 South Coast Surgery Center, LLC's NPI number?
The NPI number for South Coast Surgery Center, LLC is 1205889110. It was assigned to this organization in the NPPES registry on May 19, 2006.
Where is South Coast Surgery Center, LLC located?
South Coast Surgery Center, LLC is located at 2699 N 17th St, Coos Bay, OR 97420. The listed phone number is (541) 266-3600.
What is South Coast Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is South Coast Surgery Center, LLC enrolled in Medicare?
Yes. South Coast Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Coast Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to South Coast Surgery Center, LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (8), Family Practice (1) and General Surgery (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Coast Surgery Center, LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list South Coast Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Coast Surgery Center, LLC was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# South Coast Surgery Center, Llc · NPI 1205889110
Ambulatory Surgical organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1205889110 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Christopher Clarke, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 2699 N 17TH ST, Coos Bay, OR 97420
- **Phone:** (541) 266-3600 · **Fax:** (541) 269-0708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (8), Family Practice (1), General Surgery (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2008
- **Other identifiers:** Medicare PIN R100454 (OR); Medicaid 165067 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1205889110) · Data from the CMS NPPES public registry.