{"npi":"1417094145","type":"NPI-2","status":"active","name":{"display":"Southern Coos Health District","other":[],"organization_name":"SOUTHERN COOS HEALTH DISTRICT","authorised_official":"Antone Eek"},"specialty":{"primary_taxonomy":"282NC0060X","primary_taxonomy_description":"Critical Access Hospital","slug":"critical-access-hospital","schema_org_specialty":null,"all":[{"code":"282NC0060X","description":"Critical Access Hospital","primary":true,"state":"OR","license":"140809"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 11TH ST SE","city":"BANDON","state":"OR","postal_code":"974119114","country_code":"US","phone":"5413472426","fax":"5413473923"},{"purpose":"MAILING","street_1":"900 11TH ST SE","city":"BANDON","state":"OR","postal_code":"974119114","country_code":"US","phone":"5413472426","fax":"5413473923"}],"license":{"state":"OR","number":"140809"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"800004","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120331000085","type_code":"00-85","type_desc":"PART A PROVIDER - CRITICAL ACCESS HOSPITAL","state":"OR","pac_id":"1951219310"}]},"enumeration_date":"2007-01-31","last_updated":"2024-10-03","_meta":{"source":"NPPES","snapshot_date":"2024-10-03","doc_url":"https://findmynpi.com/api"}}