Healthcare Provider Details

I. General information

NPI: 1770303968
Provider Name (Legal Business Name): CURRY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

94180 2ND ST
GOLD BEACH OR
97444-8733
US

IV. Provider business mailing address

94220 4TH ST
GOLD BEACH OR
97444-7756
US

V. Phone/Fax

Practice location:
  • Phone: 541-247-7047
  • Fax: 541-247-0123
Mailing address:
  • Phone: 541-247-3160
  • Fax: 541-247-3104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA ANNE WILLIAMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 541-247-3108