South Coast Healthcare LLC
NPI 1134740152 · Primary Care Clinic/Center · Gold Beach, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Coast Healthcare LLC is a Primary Care Clinic/Center organization in Gold Beach, OR (NPI 1134740152).
Provider details
- NPI number
- 1134740152
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Dickerson, Family Nurse Practitioner(541) 425-5657
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Coast Healthcare
- Doing business as
- South Coast Healthcare
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Frequently asked questions
- What is South Coast Healthcare LLC's NPI number?
- South Coast Healthcare LLC's National Provider Identifier (NPI) is 1134740152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Coast Healthcare LLC?
- South Coast Healthcare LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Coast Healthcare LLC located?
- South Coast Healthcare LLC's practice location on file with NPPES is 29641 Ellensburg Ave, Gold Beach, OR 97444-8701.
- What is South Coast Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for South Coast Healthcare LLC is (541) 698-8080.
- Does South Coast Healthcare LLC accept Medicare?
- South Coast Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Coast Healthcare LLC?
- The authorized official listed on South Coast Healthcare LLC's NPPES record is Sara Dickerson, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Coast Healthcare LLC's NPI active?
- Yes — South Coast Healthcare LLC's NPI (1134740152) is active in the NPPES registry as of the last update on 2020-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.