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NPI · 1134740152 · NPPES-sourced

South Coast Healthcare LLC

ActivePrimary Care Clinic
NPI Number
1134740152
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(541) 698-8080
Primary practice line
Last Updated
Enumerated
Primary practice addressOR · 97444-8701
29641 Ellensburg AveGold Beach, OR 97444-8701
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About this NPIWhat this record shows.

NPI 1134740152 is registered to South Coast Healthcare LLC, a healthcare organisation classified as "Primary Care Clinic" and located at 29641 Ellensburg Ave in Gold Beach, Oregon. The organisation's authorised official is Sara Dickerson. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 1 secondary identifier beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 332 Primary Care Clinic providers on file in Oregon.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans South Coast Healthcare LLC accepts. To confirm in-network status with your specific health plan, contact South Coast Healthcare LLC directly at (541) 698-8080.

Frequently asked

Yes. NPI 1134740152 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (541) 698-8080.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. South Coast Healthcare LLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 332 Primary Care Clinic providers are registered in Oregon, and South Coast Healthcare LLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Primary Care Clinic providers in Oregon.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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