CONFEDERATED TRIBES OF COOS, LOWER UMPQUA & SIUSLAW INDIANS
NPI 1780755454
Clinic/Center - Primary Care in Coos Bay, OR
About Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONFEDERATED TRIBES OF COOS, LOWER UMPQUA & SIUSLAW INDIANS (NPI 1780755454), doing business as Three Rivers Health Center - Coos Bay, is a healthcare organization registered as a primary care in Coos Bay, Oregon and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Coos Bay and lists Davon Lorenzo Smith, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 2
Secondary Practice Location 1
Other Identifiers 4
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)
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: 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 Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians's NPI number?
The NPI number for Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is 1780755454. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Three Rivers Health Center - Coos Bay.
Where is Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians located?
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is located at 150 S Wall St, Coos Bay, OR 97420. The listed phone number is (541) 435-7200.
What is Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians enrolled in Medicare?
Yes. Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians, in Family Practice, Nurse Practitioner and Psychiatry. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians 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 Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians · NPI 1780755454
Primary Care organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1780755454 (Entity type: Organization)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Three Rivers Health Center - Coos Bay (Doing Business As); Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Davon Smith, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 150 S WALL ST, Coos Bay, OR 97420-3233
- **Phone:** (541) 435-7200 · **Fax:** (541) 888-0025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Psychiatry (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2026
- **Other identifiers:** Medicaid 165383 (OR); Medicaid 500838955 (OR); Other RP-0003971 (OR); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1780755454) · Data from the CMS NPPES public registry.