SOUTHERN COOS HOSPITAL & HEALTH CENTER
NPI 1417094145
General Acute Care Hospital - Critical Access in Bandon, OR

Active since January 31, 2007CLIA 38D2028766 · Waiver
900 11TH ST SE, BANDON, OR 97411(541) 347-2426(541) 347-3923 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Dec 4, 2019 (2 updates tracked since 2019).

About Southern Coos Hospital & Health Center NPPES

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

SOUTHERN COOS HOSPITAL & HEALTH CENTER (NPI 1417094145) is a healthcare organization registered as a critical access in Bandon, Oregon and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Antone J Eek, Authorized Official - Cfo, as its authorized official.

NPPES Registry Identity

NPI1417094145
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSOUTHERN COOS HEALTH DISTRICT
Location Address900 11TH ST SEBandon, OR 97411-9114
Mailing Address900 11th St SeBandon, OR 97411-9114 · (541) 347-2426 · Fax (541) 347-3923
Fax(541) 347-3923
Organization SubpartNo
Authorized OfficialAntone J EekAuthorized Official - Cfo · (503) 544-6592
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1417094145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License Licensed in OR · 140809
900 11TH ST SE, Bandon, OR 97411

Other Names 1

Doing Business AsSouthern Coos Hospital & Health Center

Other Identifiers 1

Medicaid800004OR

Accepted Insurance

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 38D2028766

Southern Coos Hospital And Health Center · Bandon, OR
Active · expires Aug 22, 2027
CLIA Number38D2028766
Laboratory TypeHosp Based Clinic
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorPaul J. Michaels
Laboratory Phone(541) 269-8188
Laboratory LocationSouthern Coos Hospital And Health Center900 11th Street SE, Bandon, OR 97411
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
900 11TH ST SE
BANDON, OR 97411
General Acute Care Hospital (Critical Access)
900 11TH ST SE
BANDON, OR 97411
Nurse Anesthetist, Certified Registered
900 11TH ST SE
BANDON, OR 97411
Hospitalist
900 11TH ST SE
BANDON, OR 97411
Pharmacy (Community/Retail Pharmacy)
900 11TH ST SE
BANDON, OR 97411

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 Southern Coos Health District's NPI number?

The NPI number for Southern Coos Health District is 1417094145. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Southern Coos Hospital & Health Center.

Where is Southern Coos Health District located?

Southern Coos Health District is located at 900 11th St SE, Bandon, OR 97411. The listed phone number is (541) 347-2426.

What is Southern Coos Health District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Southern Coos Health District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2028766) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Coos Health District accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Coos Health District 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 Southern Coos Health District was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.