Healthcare Provider Details

I. General information

NPI: 1083656367
Provider Name (Legal Business Name): CURRY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 5TH STREET
BROOKINGS OR
97415-9702
US

IV. Provider business mailing address

94220 4TH ST
GOLD BEACH OR
97444-7756
US

V. Phone/Fax

Practice location:
  • Phone: 541-412-2000
  • Fax: 541-412-2081
Mailing address:
  • Phone: 541-247-3000
  • Fax: 541-247-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number14-0251
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA A. WILLIAMS
Title or Position: CEO
Credential:
Phone: 541-247-3108