UMPQUA COMMUNITY HEALTH CENTER, INC. – Federally Qualified Health Center (FQHC), NPI 1396751772

UMPQUA COMMUNITY HEALTH CENTER, INC. is a healthcare provider. based in Roseburg, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for UMPQUA COMMUNITY HEALTH CENTER, INC. is 1396751772

Main info

Organization
Name
UMPQUA COMMUNITY HEALTH CENTER, INC.
NPI
1396751772
Phone
(541) 672-9596
Address
150 KENNETH FORD DR
Authorized Official
KC BOLTON CEO
Enumeration Date
31 July 2006
Last Update Date
28 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for UMPQUA COMMUNITY HEALTH CENTER, INC.

  • Kenneth Ford Drive, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974701042

    Phone: (541) 672-9596

    Fax: (541) 464-3519

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100831000158OFederally Qualified Health Center (Fqhc)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97470)

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Reviews

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Frequently asked questions

What identifier follows UMPQUA COMMUNITY HEALTH CENTER, INC. across health systems?
The NPI 1396751772 uniquely identifies UMPQUA COMMUNITY HEALTH CENTER, INC. in U.S. healthcare data.
Is UMPQUA COMMUNITY HEALTH CENTER, INC.'s NPI status active today?
Active status means UMPQUA COMMUNITY HEALTH CENTER, INC.'s NPI record is not deactivated in the public file.
What services align with UMPQUA COMMUNITY HEALTH CENTER, INC.'s listing?
UMPQUA COMMUNITY HEALTH CENTER, INC.'s public classification highlights Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Can patients visit UMPQUA COMMUNITY HEALTH CENTER, INC. in Roseburg, Oregon?
For routing, start with Roseburg, Oregon for UMPQUA COMMUNITY HEALTH CENTER, INC., then verify phone and hours locally.
Why is information missing for UMPQUA COMMUNITY HEALTH CENTER, INC.?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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