OrganizationActive
Umpqua Community Health Center, Inc.
NPI 1023747813 · Community/Retail Pharmacy · Roseburg, OR
Provider details
- NPI number
- 1023747813
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kc Bolton, Chief Executive Officer(541) 672-9596
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone: (541) 672-9596
Fax: (541) 492-2060
Approximate (ZIP-level) locationGet directions
Mailing address
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Other names (DBA / former)
- Doing business as
- Aviva Health Pharmacy
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.