Umpqua Community Health Center, Inc.

NPI #1619399888 in Sutherlin, Oregon

Provider Information

NPI Number: 1619399888
Entity Type: Organization
Organization Name: Umpqua Community Health Center, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jan 7, 2014
Last Updated: Jan 2, 2024

Practice Location

Address: 775 TAYLOR ST.
City: Sutherlin
State: Oregon
ZIP Code: 97479
Phone: (541) 672-9596

Authorized Official

Name: KC BOLTON
Title: CEO
Phone: (541) 672-9596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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