MEDICARE: BAY AREA HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	367500000X	Certified Registered Nurse Anesthetist
3	282N00000X	General Acute Care Hospital	141024	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225016561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1775 THOMPSON RD
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2125
Country	:	US
Telephone Number	:	541-269-8124
Fax Number	:	541-267-7057

Provider Business Practice Location Address
First Line	:	1775 THOMPSON RD
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2125
Country	:	US
Telephone Number	:	541-269-8124
Fax Number	:	541-267-7057

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN J MOORE
Credential	:
Telephone Number	:	541-269-8124

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	09/13/2022

Similar Medicare Providers

1497396394 — DANIEL PATRICK WELCH AGNP-C
Practice Location Address:

1775 THOMPSON RD
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8111
Practice Fax:

1588664700 — HOWARD PHILIP GRILL MD
Practice Location Address:

1775 THOMPSON RD BAY AREA
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8111
Practice Fax:

1962494757 — DR. BRADLEY G TITUS M.D.
Practice Location Address:

1775 THOMPSON RD
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8111
Practice Fax:

1760476972 — CHARLES R. AXELTON R.PH.
Practice Location Address:

1775 THOMPSON RD
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8160
Practice Fax:

1962487108 — SUSAN ANNE MORGAN CNM, FNP
Practice Location Address:

1775 THOMPSON RD.
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8538
Practice Fax: 541-267-5083

1821041369 — MERRILL N WORKHOVEN MD
Practice Location Address:

1775 THOMPSON RD
COOS BAY, OR
97420-2125

Practice Phone: 541-269-8020
Practice Fax:

Directions to “BAY AREA HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.