| Community Health Alliance | |
|
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 | |
| (541) 440-3532 | |
| (541) 440-3554 |
| Full Name | Community Health Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | Darby D Baker (OPERATIONS MANAGER) |
| Authorized Official Contact | 5416776006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Alliance 1600 Nw Garden Valley Blvd Suite 110 Roseburg OR 97471-8700 Ph: (541) 440-3532 | Community Health Alliance 2700 Nw Stewart Pkwy Roseburg OR 97471-1281 Ph: (541) 440-3532 |
| NPI Number | 1871947986 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871947986 | NPI | - | NPPES |
| 500670863 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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