OrganizationActive
Umpqua Community Health Center, Inc.
NPI 1609065010 · Federally Qualified Health Center (FQHC) · Glide, OR
Provider details
- NPI number
- 1609065010
- 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
Practice location
20170 North Umpqua Highway
Glide, OR 97443
Phone: (541) 496-3504
Fax: (541) 464-3519
Approximate (ZIP-level) locationGet directions
Mailing address
150 Kenneth Ford Drive
Roseburg, OR 97470-1042
Registry dates
- Enumerated
- 2007-10-22
- 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.