Coos Health & Wellness – Clinic/Center, NPI 1811981053

Coos Health & Wellness is a healthcare provider. based in Coos bay, Oregon. specializing in Clinic/Center. The NPI Number for Coos Health & Wellness is 1811981053

Main info

Organization
Name
Coos Health & Wellness
NPI
1811981053
Phone
(541) 266-6700
Address
281 LACLAIR STREET
Authorized Official
DAWN RENEE BROUGHTON ACCOUNTING SUPERVISOR
Enumeration Date
2 September 2005
Last Update Date
22 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Coos Health & Wellness

  • 281, Laclair Street, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 97420

    Phone: (541) 266-6700

    Fax: (541) 888-8726

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040818001343OClinic/Group PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97420)

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Reviews

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Frequently asked questions

Is there an official ID for Coos Health & Wellness in U.S. healthcare records?
The official identifier for Coos Health & Wellness is NPI 1811981053.
Would Coos Health & Wellness appear as active to a payer?
You can treat Coos Health & Wellness as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Coos Health & Wellness?
Coos Health & Wellness's specialty line reads Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Coos Health & Wellness?
Travel planning: use Coos Bay, Oregon as the reference point for Coos Health & Wellness, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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