Cow Creek Health & Wellness Annex
NPI 1205162021 · Federally Qualified Health Center (FQHC) · Canyonville, OR
Cow Creek Health & Wellness Annex is a Federally Qualified Health Center (FQHC) organization in Canyonville, OR (NPI 1205162021).
Provider details
- NPI number
- 1205162021
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Stanphill, Chief Health Officer(541) 672-8533
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Cow Creek Health & Wellness Annex
Registry dates
- Enumerated
- 2009-10-29
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Frequently asked questions
- What is Cow Creek Health & Wellness Annex's NPI number?
- Cow Creek Health & Wellness Annex's National Provider Identifier (NPI) is 1205162021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cow Creek Health & Wellness Annex?
- Cow Creek Health & Wellness Annex is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Cow Creek Health & Wellness Annex located?
- Cow Creek Health & Wellness Annex's practice location on file with NPPES is 270 Gazley Bridge Rd, Canyonville, OR 97417-9718.
- What is Cow Creek Health & Wellness Annex's phone number?
- The practice phone number listed in the NPPES registry for Cow Creek Health & Wellness Annex is (541) 839-1345.
- Who is the authorized official for Cow Creek Health & Wellness Annex?
- The authorized official listed on Cow Creek Health & Wellness Annex's NPPES record is Sharon Stanphill, Chief Health Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cow Creek Health & Wellness Annex's NPI active?
- Yes — Cow Creek Health & Wellness Annex's NPI (1205162021) is active in the NPPES registry as of the last update on 2021-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.