| Umpqua Community Health Center, Inc. | |
|
244 Ne Division St Myrtle Creek OR 97457-8507 | |
| (541) 672-9596 | |
| (541) 492-2060 |
| Full Name | Umpqua Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 244 Ne Division St, Myrtle Creek, Oregon |
| Authorized Official Name and Position | Kc Bolton (CEO) |
| Authorized Official Contact | 5416729596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umpqua Community Health Center, Inc. 150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 Ph: (541) 672-9596 | Umpqua Community Health Center, Inc. 244 Ne Division St Myrtle Creek OR 97457-8507 Ph: (541) 672-9596 |
| NPI Number | 1366168080 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366168080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |