Provider Demographics
NPI:1437313285
Name:NEWPORT CHURCH OF THE NAZARENE
Entity Type:Organization
Organization Name:NEWPORT CHURCH OF THE NAZARENE
Other - Org Name:OREGON COAST HOPE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, SENIOR PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MRE, DMIN
Authorized Official - Phone:541-265-4673
Mailing Address - Street 1:PO BOX 1068
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-0085
Mailing Address - Country:US
Mailing Address - Phone:541-265-4673
Mailing Address - Fax:541-265-4066
Practice Address - Street 1:244 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3210
Practice Address - Country:US
Practice Address - Phone:541-265-4673
Practice Address - Fax:541-265-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health