UMPQUA COMMUNITY HEALTH CENTER, INC. (NPI# 1619399888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619399888 |
| Entity Type | Organization |
| Organization Name | UMPQUA COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
123 Ponderosa Dr Sutherlin OR 97479-9812 |
| Mailing Address |
150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 |
| Practice Telephone | 5416729596 |
| Practice Fax Number | 5414643519 |
| Mailing Telephone | 5416729596 |
| Mailing Fax Number | 5414643519 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | MS. LINDA L MULLINS (C.E.O.) |
| Authorized Official Telephone | 5416729596 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649469909 | Umpqua Community Health Center, Inc. | Community/Behavioral Health | 316 W. A Street, Drain, OR 97435 | 2007-10-23 |
| 1609065010 | Umpqua Community Health Center, Inc. | Community/Behavioral Health | 20170 North Umpqua Highway, Glide, OR 97443 | 2007-10-22 |
| 1396751772 | Umpqua Community Health Center, Inc. | Clinic/Center | 150 Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2006-07-31 |
| 1508018946 | Umpqua Community Health Center, Inc. | Community/Behavioral Health | 790 S. Main, Myrtle Creek, OR 97457 | 2008-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UMPQUA COMMUNITY HEALTH CENTER, INC. | 150 Kenneth Ford Dr, Roseburg, OR 97470 |
| Street Address |
123 PONDEROSA DR |
| City | SUTHERLIN |
| State | OR |
| Zip Code | 97479-9812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437374998 | Faiza Salman | Family Medicine | 123 Ponderosa Dr, Suite 102, Sutherlin, OR 97479-9812 | 2007-04-17 |
| 1104294933 | Danielle Givens | Social Worker | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2015-09-10 |
| 1528436656 | Anna Kulacz | Physician Assistant | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2015-09-06 |
| 1336520162 | Kody Seeley | Family Medicine | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2015-06-17 |
| 1124353289 | Umpqua Regional Medical Center Diagnostics | Clinical Medical Laboratory | 123 Ponderosa Dr, Suite 101, Sutherlin, OR 97479-9812 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1962919415 | Matt Vincent Vaccaro | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2018-01-05 |
| 1083972632 | Cynthia K Colean | Counselor | 112 Eagle Court, Sutherlin, OR 97479 | 2012-05-01 |
| 1245407980 | Lori Celeste Farley | Acupuncturist | 10 South State Street, Sutherlin, OR 97479 | 2008-05-12 |
| 1124215413 | Assisted Living Concepts Inc | Assisted Living Facility | 1465 East Central, Sutherlin, OR 97479 | 2007-10-01 |
| 1528106358 | James J. Hein | Dentist | 155 N. Umpqua St., Sutherlin, OR 97479 | 2007-02-02 |
| 1407910417 | Adam Wade Sarnoski | Chiropractor | 219 N. Umpqua St., Sutherlin, OR 97479 | 2006-12-21 |
| 1700982642 | Timothy S Murphy | Dentist | 317 E Central Ave, Sutherlin, OR 97479 | 2006-09-16 |
| 1407416100 | Hometown Drugs of Sutherlin, Inc. | Pharmacy | 113 E Central Ave., Sutherlin, OR 97479 | 2019-06-17 |
| 1255990982 | Matthew V. Vaccaro Lac Inc | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2019-06-06 |
| Find all providers in zip 97479 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1346850500 | Opportunity Connections, Inc. | Clinic/Center | 1102 12th St, Hood River, OR 97031-1602 | 2020-08-03 |
| 1750827184 | Elizabeth Villagrana | Clinic/Center | 32753 E Delaney St, Coburg, OR 97408-9265 | 2017-01-09 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1588981096 | Joan Jackson Cavan | Clinic/Center | 86595 N Modesto Dr, Eugene, OR 97402-9045 | 2010-04-23 |
| 1639316193 | La Pine Community Health Center | Clinic/Center | 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 | 2009-01-20 |
| 1376546291 | Willamette Family, Inc | Clinic/Center | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2005-05-24 |
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1457897548 | Lukedorf | Clinic/Center | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-01-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UMPQUA COMMUNITY HEALTH CENTER, INC..
| 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.