| Umpqua Community Health Center, Inc. | |
|
4221 Ne Stephens St Ste 101 Roseburg OR 97470-1122 | |
| (541) 672-9596 | |
| Not Available |
| Full Name | Umpqua Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4221 Ne Stephens St Ste 101, Roseburg, Oregon |
| Authorized Official Name and Position | Kc Bolton (CEO) |
| Authorized Official Contact | 5416729596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umpqua Community Health Center, Inc. 150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 Ph: (541) 672-9596 | Umpqua Community Health Center, Inc. 4221 Ne Stephens St Ste 101 Roseburg OR 97470-1122 Ph: (541) 672-9596 |
| NPI Number | 1588231021 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588231021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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