Provider Demographics
NPI:1811939093
Name:CURRY HEALTH DISTRICT
Entity type:Organization
Organization Name:CURRY HEALTH DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
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:541-247-3101
Practice Address - Street 1:525 MADRONA ST
Practice Address - Street 2:
Practice Address - City:PORT ORFORD
Practice Address - State:OR
Practice Address - Zip Code:97465-9552
Practice Address - Country:US
Practice Address - Phone:541-332-3861
Practice Address - Fax:541-332-3861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURRY HEALTH DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-12
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500400302Medicaid
OR383990Medicare Oscar/Certification