COAST FORK NURSING CENTER INC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

COTTAGE GROVE, OR

Licensed since

2005

Rate

—

Federal identifiers

NPI registry number1407842800

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameGREGORY VISLOCKY

TitleEXEC. VP OF FINANCE

Phone5419425528

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Source: NPI Registry · Last refreshed June 24, 2026