Organization Name: | UMPQUA COMMUNITY HEALTH CENTER, INC. |
NPI Number: | 1619399888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA L MULLINS (C.E.O.) |
Mailing Address: | 123 Ponderosa Dr Sutherlin |
State: | OR US |
Postal Code: | 974799812 |
Phone Number: | 5416729596 |
Fax Number: | 5414643519 |
NPI Enumeration Date: | 01/07/2014 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |