UMPQUA COMMUNITY HEALTH CENTER, INC. – NPI #1609065010
Clinic/Center

UMPQUA COMMUNITY HEALTH CENTER, INC. is an AHC clinic located in GLIDE, OR. NPPES has assigned the NPI number 1609065010 to UMPQUA COMMUNITY HEALTH CENTER, INC. on October 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jun 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UMPQUA COMMUNITY HEALTH CENTER, INC. below.

NPI Profile for
UMPQUA COMMUNITY HEALTH CENTER, INC.

NPI Number
1609065010
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UMPQUA COMMUNITY HEALTH CENTER, INC.
Primary location
20170 NORTH UMPQUA HIGHWAY
GLIDE, OR 97443
Phone: (541) 496-3504 Fax: (541) 464-3519
Mailing address
150 KENNETH FORD DRIVE
ROSEBURG, OR 97470-1042
Phone: (541) 672-9596 Fax: (541) 464-3519
Organization Subpart
No
Authorized Official
KC BOLTON
CEO
Phone: (541) 672-9596
Updated
Certification Date
Jun 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for UMPQUA COMMUNITY HEALTH CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR168395
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
OR
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.