Umpqua Community Health Center, Inc.

LBN: Umpqua Community Health Center, Inc.
Umpqua Community Health Center, Inc. is an health care organization with primary practice located at 150 Kenneth Ford Dr , Roseburg OR 97470-1042. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Umpqua Community Health Center, Inc. can be contacted via phone (541) 672-9596, or through Bolton, Kc via phone (541) 672-9596.

Contact Information

Primary practice address
150 Kenneth Ford Dr Roseburg OR 97470-1042
Phone: (541) 672-9596
Fax: (541) 464-3519
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Kc
Phone: (541) 672-9596

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1396751772
LBN Legal business name Umpqua Community Health Center, Inc.
DBA Doing business as
Authorized official Bolton, Kc
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 28th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396751772 NPPES
Oregon MEDICAID 168395

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