Umpqua Community Health Center, Inc. in Roseburg - Federally Qualified Health Center (fqhc)
Umpqua Community Health Center, Inc. - NPI 1609065010
Umpqua Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Roseburg, Oregon. Umpqua Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Umpqua Community Health Center, Inc. is 1609065010. The last update date is 2022-06-28.
Umpqua Community Health Center, Inc.'s current location address is 150 Kenneth Ford Drive, Roseburg, Oregon. You can contact this provider via phone number 5416729596 and fax number 5414643519. The mailing address for Umpqua Community Health Center, Inc. is 150 Kenneth Ford Drive, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Umpqua Community Health Center, Inc. |
|---|---|
| Address | 150 Kenneth Ford Drive, Roseburg, Oregon |
| Phone Number | 5416729596 |
| Fax Number | 5414643519 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bolton Kc |
| Telephone Number | 5416729596 |
NPI Number Detail
| NPI Number | 1609065010 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2022-06-28 |
Provider Mailing Address Detail
| Address | 150 Kenneth Ford Drive |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974701042 |
| Phone Number | 5416729596 |
| Fax Number | 5414643519 |
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 |
|---|---|---|---|
| 168395 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Umpqua Community Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The Umpqua Community Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1609065010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Umpqua Community Health Center, Inc. is located?
The Umpqua Community Health Center, Inc. is situated at the following address: 150 Kenneth Ford Drive, Roseburg, OR, 974701042.
What is Umpqua Community Health Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Umpqua Community Health Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609065010 to Umpqua Community Health Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1609065010 to Umpqua Community Health Center, Inc. on 2007-10-22.
As of what date was the information pertaining to Umpqua Community Health Center, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Umpqua Community Health Center, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-28.