| Umpqua Community Health Center, Inc. | |
|
316 W. A Street Drain OR 97435 | |
| (541) 836-7155 | |
| (541) 836-7157 |
| Full Name | Umpqua Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 W. A Street, Drain, Oregon |
| Authorized Official Name and Position | Kc Bolton (CEO) |
| Authorized Official Contact | 5416729596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umpqua Community Health Center, Inc. 150 Kenneth Ford Drive Rosenburg OR 97470-1042 Ph: (541) 672-9596 | Umpqua Community Health Center, Inc. 316 W. A Street Drain OR 97435 Ph: (541) 836-7155 |
| NPI Number | 1649469909 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Medicare PECOS PAC ID | 0345233078 |
|---|---|
| Medicare Enrollment ID | O20090811000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649469909 | NPI | - | NPPES |
| 168395 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Myndee Ferrill Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W B Ave, Drain, OR 97435 Phone: 541-285-0997 |