SOUTH WEST INTERNAL MEDICINE LLC - NPI 1497203194 - General Practice in Coquille, OR

Q: What is South West Internal Medicine LLC's NPI number?

The NPI number for South West Internal Medicine LLC is 1497203194. It was assigned to this organization in the NPPES registry on September 12, 2016.

Q: What is South West Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About South West Internal Medicine Llc NPPES

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

SOUTH WEST INTERNAL MEDICINE LLC (NPI 1497203194) is a healthcare organization registered as a general practice in Coquille, Oregon and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through January 2, 2028, maintains a secondary practice location in Bandon, and lists Douglas Crane, Owner, as its authorized official.

NPPES Registry Identity

NPI1497203194

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSOUTH WEST INTERNAL MEDICINE LLC

Location Address209 N CENTRAL BLVDCoquille, OR 97423-1274

Mailing AddressPo Box 194Coquille, OR 97423-0194 · (541) 329-0144 · Fax (541) 329-0143

Phone(541) 329-0144

Fax(541) 329-0143

Organization SubpartNo

Authorized OfficialDouglas CraneOwner · (541) 329-0144

Enumeration DateSeptember 12, 2016

Last NPPES UpdateJune 3, 20255 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1497203194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X

209 N CENTRAL BLVD, Coquille, OR 97423

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Secondary Practice Location 1

Location 1913 11th St SE Ste 1Bandon, OR 97411-9168 · Phone (541) 329-0144 · Fax (541) 329-0143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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 38D2142119

South West Internal Medicine LLC · Coquille, OR

Active · expires Jan 2, 2028

CLIA Number38D2142119

Laboratory TypePhysician Office

Certificate Effective DateJanuary 3, 2026

Certificate Expiration DateJanuary 2, 2028

Laboratory DirectorDr. Douglas G. Crane

Laboratory Phone(541) 396-3111

Laboratory LocationSouth West Internal Medicine LLC940 East 5th St, Coquille, OR 97423

CLIA data matches this NPI record on: Name

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.

DR. STANLEY C PENSE M.D.

General Practice