Healthcare Provider Details

I. General information

NPI: 1508704065
Provider Name (Legal Business Name): BAY AREA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 THOMPSON RD SUITE # 100
COOS BAY OR
97420-2198
US

IV. Provider business mailing address

1775 THOMPSON RD
COOS BAY OR
97420-2198
US

V. Phone/Fax

Practice location:
  • Phone: 541-269-8111
  • Fax: 541-269-8111
Mailing address:
  • Phone: 541-269-8111
  • Fax: 541-269-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PATRICK AARON BANKS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 408-515-1141