OrganizationActive
Umpqua Community Health Center, Inc.
NPI 1366168080 · Federally Qualified Health Center (FQHC) · Myrtle Creek, OR
Provider details
- NPI number
- 1366168080
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kc Bolton, Ceo(541) 672-9596
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
244 Ne Division St
Myrtle Creek, OR 97457-8507
Phone: (541) 672-9596
Fax: (541) 492-2060
Street-level locationGet directions
Mailing address
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Other names (DBA / former)
- Doing business as
- Myrtle Creek Dental Clinic
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-10-14
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.