| Umpqua Health Newton Creek, Llc | |
|
3031 Ne Stephens St Roseburg OR 97470 | |
| (541) 229-7038 | |
| (541) 464-4474 |
| Full Name | Umpqua Health Newton Creek, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3031 Ne Stephens St, Roseburg, Oregon |
| Authorized Official Name and Position | Suzanne S Goldberg (SENIOR DIRECTOR, DECISION SUPPORT A) |
| Authorized Official Contact | 5414644079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umpqua Health Newton Creek, Llc Po Box 1700 Roseburg OR 97470-0414 Ph: (541) 229-7038 | Umpqua Health Newton Creek, Llc 3031 Ne Stephens St Roseburg OR 97470 Ph: (541) 229-7038 |
| NPI Number | 1174066278 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 4284915141 |
|---|---|
| Medicare Enrollment ID | O20170109000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174066278 | NPI | - | NPPES |
| 500747859 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | James J Hoyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831250133 PECOS PAC ID: 9830089689 Enrollment ID: I20040317000185 |
| Provider Name | Richard D Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265530562 PECOS PAC ID: 9931348562 Enrollment ID: I20130611000881 |
| Provider Name | Cristina Capannolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346627510 PECOS PAC ID: 8921392929 Enrollment ID: I20190809001646 |
| Provider Name | James Roland Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912509829 PECOS PAC ID: 3971917212 Enrollment ID: I20210128001436 |
| Provider Name | Julie A Leister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902569320 PECOS PAC ID: 4486043031 Enrollment ID: I20211119001244 |
| Provider Name | Raven M Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245931385 PECOS PAC ID: 1355707688 Enrollment ID: I20230511002478 |
| Provider Name | Joshua M Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508446170 PECOS PAC ID: 5890196455 Enrollment ID: I20230511002769 |
| Provider Name | John Fardell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942838511 PECOS PAC ID: 5092186585 Enrollment ID: I20230726001472 |
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Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 | |
Cow Creek Health & Wellness Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 | |
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