Cow Creek Band Of Umpqua Tribe Of Indians in Roseburg - Federally Qualified Health Center (fqhc)

Cow Creek Band Of Umpqua Tribe Of Indians - NPI 1063502714

Cow Creek Band Of Umpqua Tribe Of Indians is a Federally Qualified Health Center (fqhc) in Roseburg, Oregon. Cow Creek Band Of Umpqua Tribe Of Indians practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Cow Creek Band Of Umpqua Tribe Of Indians is 1063502714. The last update date is 2021-11-19.

Cow Creek Band Of Umpqua Tribe Of Indians's current location address is 2371 Ne Stephens St Ste 200, Roseburg, Oregon. You can contact this provider via phone number 5416728533 and fax number 5416779870. The mailing address for Cow Creek Band Of Umpqua Tribe Of Indians is 2371 Ne Stephens St Ste 200, Roseburg, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cow Creek Band Of Umpqua Tribe Of Indians
Address 2371 Ne Stephens St Ste 200, Roseburg, Oregon
Phone Number 5416728533
Fax Number 5416779870
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF HEAL
Authorized Official Name Stanphill A Sharon
Telephone Number 5416728533

NPI Number Detail

NPI Number 1063502714
Provider Enumeration Date 2006-10-13
Last Updated Date 2021-11-19

Provider Mailing Address Detail

Address 2371 Ne Stephens St Ste 200
City Roseburg
State Oregon (OR)
Post Code 974701399
Phone Number 5416728533
Fax Number 5416779870

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500745176 OR --

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FAQs about Cow Creek Band Of Umpqua Tribe Of Indians

What is the unique identifier code issued to Cow Creek Band Of Umpqua Tribe Of Indians by the Centers for Medicare & Medicaid Services?

The Cow Creek Band Of Umpqua Tribe Of Indians has been assigned the NPI (National Provider Identifier) 1063502714. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Cow Creek Band Of Umpqua Tribe Of Indians is physically located?

The Cow Creek Band Of Umpqua Tribe Of Indians is situated at the following address: 2371 Ne Stephens St Ste 200, Roseburg, OR 974701399.

What is Cow Creek Band Of Umpqua Tribe Of Indians's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Cow Creek Band Of Umpqua Tribe Of Indians is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.

When was the Cow Creek Band Of Umpqua Tribe Of Indians's 1063502714 issued?

The Cow Creek Band Of Umpqua Tribe Of Indians's 1063502714 was issued on 2006-10-13.

When was the information regarding Cow Creek Band Of Umpqua Tribe Of Indians, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Cow Creek Band Of Umpqua Tribe Of Indians, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-19.

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