Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Coast Healthcare LLC

Organization Primary Care Clinic/Center · NPI 1134740152

South Coast Healthcare LLC is a Primary Care Clinic/Center in Gold Beach, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29641 Ellensburg Ave
Gold Beach, OR 97444-8701
Phone: (541) 698-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1134740152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Dickerson — Family Nurse Practitioner · (541) 425-5657
Other names South Coast Healthcare; South Coast Healthcare
NPI enumeratedApril 30, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address29641 Ellensburg Ave, Gold Beach, OR 97444-8701

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