Organization · Type 2 NPI
Bandon Community Health CTR
Federally Qualified Health Center (FQHC) · Port Orford, OR
NPI number
1013587484
Active
Practice location
312 Tichenor St
Port Orford, OR 97465-8672
Fax (541) 347-9196
Mailing address
1010 1st St SE Ste 110
Bandon, OR 97411-9301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Port Orford
About NPI 1013587484
Bandon Community Health CTR's National Provider Identifier is 1013587484, issued on Jun 29, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Port Orford, OR. The record was last updated on Jun 29, 2021.