UMPQUA COMMUNITY HEALTH CENTER, INC. – NPI #1619399888
Clinic/Center

UMPQUA COMMUNITY HEALTH CENTER, INC. is an AHC clinic located in SUTHERLIN, OR. NPPES has assigned the NPI number 1619399888 to UMPQUA COMMUNITY HEALTH CENTER, INC. on January 07, 2014. 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 2 years ago on Jan 02, 2024. 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
1619399888
Enumeration Date

(more than 12 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
775 TAYLOR ST.
SUTHERLIN, OR 97479
Phone: (541) 672-9596 Fax:
1 Other location(s):
123 Ponderosa Dr
Sutherlin, OR 97479-9812
Phone: (541) 672-9596 Ext: 114
Fax: (541) 464-3519
Mailing address
150 NE KENNETH FORD DR
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
Jan 02, 2024

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.

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)
261QC1500X
- Clinic/Center / Community 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.