Provider Demographics
NPI:1083656367
Name:CURRY HEALTH DISTRICT
Entity Type:Organization
Organization Name:CURRY HEALTH DISTRICT
Other - Org Name:CURRY MEDICAL CENTER (FORMERLY BROOKINGS MEDICAL CENTER)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-247-3108
Mailing Address - Street 1:94220 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-7756
Mailing Address - Country:US
Mailing Address - Phone:541-247-3000
Mailing Address - Fax:541-247-3154
Practice Address - Street 1:500 5TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-9702
Practice Address - Country:US
Practice Address - Phone:541-412-2000
Practice Address - Fax:541-412-2081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURRY HEALTH DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-12
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-0251261QC0050X
261QE0002X, 261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR119263Medicaid
OR=========OtherCURRY HEALTH DISTRICT TAX I.D.