OrganizationActive
Umpqua Community Health Center, Inc.
NPI 1700745783 · Federally Qualified Health Center (FQHC) · Roseburg, OR
Provider details
- NPI number
- 1700745783
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kc Bolton, Chief Executive Officer(541) 672-9596
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1128 Se Stephens St
Roseburg, OR 97470-4820
Phone: (541) 672-9596
Fax: (541) 464-3519
Street-level locationGet directions
Mailing address
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Other names (DBA / former)
- Doing business as
- Aviva Health
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.