SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR
NPI 1306853296
Clinic/Center - Primary Care in Brookings, OR

Active since August 02, 2006CLIA 38D2009628 · Waiver
555 5TH ST, BROOKINGS, OR 97415(541) 469-9205(541) 469-9204 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sutter Coast Health Clinic @ Brookings-harbor NPPES

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

SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR (NPI 1306853296) is a healthcare organization registered as a primary care in Brookings, Oregon and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Mitch Hanna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306853296
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUTTER COAST HOSPITAL
Location Address555 5TH STBrookings, OR 97415-9730
Mailing Address800 E Washington BlvdCrescent City, CA 95531-8359 · (707) 464-8511 · Fax (707) 464-8886
Fax(541) 469-9204
Organization SubpartYes
Authorized OfficialMitch HannaCeo · (707) 464-8880
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 10, 2016
✔ NPI 1306853296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
555 5TH ST, Brookings, OR 97415

Other Names 1

Doing Business AsSutter Coast Health Clinic @ Brookings-harbor

Other Identifiers 4

OtherCT3220Railroad Retire
Medicare UPINMCR118288
Medicaid227691OR
Other840162000OR · Bx Regence

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)

Sutter Coast Health Clinic @ Brookings-harbor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Sutter Coast Health Clinic @ Brookings-Harbor, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1063422608
555 5TH STREET SUITE 2
Brookings, OR 97415
(541) 469-9205
✔ PECOSSame address
Internal Medicine
NPI 1194731703
555 5TH ST SUITE 2
Brookings, OR 97415
(541) 469-9205
✔ PECOSSame address
Urology
NPI 1023192960
780 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 464-6715
✔ PECOS20 mi
Hospitalist
NPI 1952517682
800 E WASHINGTON BLVD
Crescent City, CA 95531
(916) 733-3777
✔ PECOS✔ Accepts Medicare20 mi
General Surgery
NPI 1285655399
7777 GREENBACK LN STE 103
Citrus Heights, CA 95610
(916) 835-7777
✔ PECOS282 mi
Medical Oncology
NPI 1447298955
2998 S BASCOM AVE SUITE 200
San Jose, CA 95124
(408) 356-1911
✔ PECOS353 mi
Internal Medicine
NPI 1275611535
311 STEELE ST
Denver, CO 80206
(303) 372-4010
✔ PECOS1,023 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2009628

Sutter Coast Health Center At Brookings Harbor · Brookings, OR
Active · expires Jul 7, 2028
CLIA Number38D2009628
Laboratory TypeHospital Out-Patient Dept
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorAlexander Leighton
Laboratory Phone(541) 469-9205
Laboratory LocationSutter Coast Health Center At Brookings Harbor555 5th St Suite 2, Brookings, OR 97415
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sutter Coast Hospital's NPI number?

The NPI number for Sutter Coast Hospital is 1306853296. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Sutter Coast Health Clinic @ Brookings-Harbor.

Where is Sutter Coast Hospital located?

Sutter Coast Hospital is located at 555 5th St, Brookings, OR 97415. The listed phone number is (541) 469-9205.

What is Sutter Coast Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Sutter Coast Hospital enrolled in Medicare?

Yes. Sutter Coast Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sutter Coast Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Sutter Coast Hospital. 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 Internal Medicine (3), General Surgery (1) and Hospitalist (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sutter Coast Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2009628) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sutter Coast Hospital accept?

Health plans from Moda Health Plan, Inc. list Sutter Coast Hospital 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 Sutter Coast Hospital was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.