| NPI | 1780755454 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH CENTER - COOS BAY |
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH REEVES Health Administrator 808-214-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 125J00000X Dental Therapist |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-09-05 |