Cow Creek Band Of Umpqua Tribe Of Indians
LBN: Cow Creek Health & Wellness Ctr
Cow Creek Band Of Umpqua Tribe Of Indians is an health care organization with primary practice located at 2371 Ne Stephens St Ste 200 , Roseburg OR 97470-1399. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty.
Cow Creek Health & Wellness Ctr can be contacted via phone (541) 672-8533, or through Rondeau, Michael J via phone (541) 672-9405.
Contact Information
Primary practice address
2371 Ne Stephens St Ste 200
Roseburg OR 97470-1399
Phone: (541) 672-8533
Fax: (541) 672-4993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10-09-68U | Oregon |
Profile Details
| NPI number | 1205104718 |
|---|---|
| LBN Legal business name | Cow Creek Health & Wellness Ctr |
| DBA Doing business as | Cow Creek Band Of Umpqua Tribe Of Indians |
| Authorized official | Rondeau, Michael J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2011 |
| Last updated | Dec 12th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205104718 | NPPES |
| Oregon | MEDICAID | 165772 |
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