COMMUNITY CANCER FOUNDATION (NPI# 1376639153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376639153 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CANCER FOUNDATION |
| Other Organization Name | COMMUNITY CANCER CENTER |
| Practice Address |
2880 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1201 |
| Practice Telephone | 5416732267 |
| Practice Fax Number | 5416729483 |
| Mailing Telephone | 5416732267 |
| Mailing Fax Number | 5416729483 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MRS. TAMMY HAGEDORN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5416732267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351991 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2005-07-27 |
| 1982833752 | Community Cancer Foundation | Dietitian, Registered | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2009-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY CANCER FOUNDATION | 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 |
| Street Address |
2880 NW STEWART PKWY SUITE 100 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351991 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2005-07-27 |
| 1982833752 | Community Cancer Foundation | Dietitian, Registered | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2009-07-14 |
| 1003982281 | Umpqua Medical PC | Internal Medicine | 2880 Nw Stewart Pkwy, Suite 200, Roseburg, OR 97471-1201 | 2006-11-28 |
| 1174613053 | Scott Randall Moore | Physician Assistant | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-13 |
| 1124079140 | Michael L Brown | Radiology | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1202 | 2006-05-15 |
| 1134103252 | Michael C Oneil Jr. | Internal Medicine | 2880 Nw Stewart Pkwy, Suite 301, Roseburg, OR 97471-1206 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434025 | Evergreen Diagnostics, LLC | Clinic/Center | 2570 Nw Edenbower Blvd, Suite 100, Roseburg, OR 97470-6220 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089223 | Lazarus 3d, Inc. | Clinic/Center | 3513 Nw Mink Pl, Corvallis, OR 97330-3729 | 2020-09-28 |
| 1952952079 | Salem Health | Clinic/Center | 105 Arney Rd, Woodburn, OR 97071-9471 | 2019-09-20 |
| 1679537252 | Willamette Valley Clinics LLC | Clinic/Center | 232 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-04-12 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1952730871 | Mid Rogue Imaging Center | Clinic/Center | 1619 Nw Hawthorne Ave Ste 102, Grants Pass, OR 97526-6008 | 2013-11-01 |
| 1114362126 | Womens Imaging and Intervention, LLC | Clinic/Center | 17050 Pilkington Rd, Suite 130, Lake Oswego, OR 97035-6306 | 2013-05-03 |
| 1780813741 | Motion Orthopedics, P.C. | Clinic/Center | 1122 W Elm Ave, Hermiston, OR 97838-6933 | 2009-07-10 |
| 1043456643 | Medical Imaging Group, LLC | Clinic/Center | 18040 Sw Lower Boones Ferry Road, Tigard, OR 97224 | 2009-01-02 |
| 1174770127 | Northwest Ct Images LLC | Clinic/Center | 2831 Sw Cornelius Pass Rd, Suite 100, Hillsboro, OR 97123 | 2008-08-21 |
| 1598952699 | Head & Neck Imaging Northwest, LLC | Clinic/Center | 4035 12th St Cut Off Se, Suite 140, Salem, OR 97302-1764 | 2007-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY CANCER FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.