OrganizationActive
Umpqua Community Health Center, Inc.
NPI 1508018946 · Federally Qualified Health Center (FQHC) · Myrtle Creek, OR
Provider details
- NPI number
- 1508018946
- 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
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
790 S. Main
Myrtle Creek, OR 97457
Phone: (541) 860-4070
Fax: (541) 860-5032
Approximate (ZIP-level) locationGet directions
Mailing address
150 Kenneth Ford Drive
Roseburg, OR 97470-1042
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.