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UMPQUA COMMUNITY HEALTH CENTER, INC.
NPI 1023747813
Pharmacy - Community/Retail Pharmacy in Roseburg, OR

Active since June 07, 2022CLIA Certified · 5 labs
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596(541) 492-2060 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Umpqua Community Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMPQUA COMMUNITY HEALTH CENTER, INC. (NPI 1023747813), doing business as Aviva Health Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Roseburg, Oregon and active in the NPI registry since June 2022. The organization holds 5 active CLIA laboratory certificates and lists Kc Bolton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023747813
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameUMPQUA COMMUNITY HEALTH CENTER, INC.
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042 · (541) 672-9596 · Fax (541) 492-2060
Phone(541) 672-9596
Fax(541) 492-2060
Organization SubpartNo
Authorized OfficialKc BoltonChief Executive Officer · (541) 672-9596
Enumeration DateJune 7, 2022
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1023747813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
150 NE KENNETH FORD DR, Roseburg, OR 97470
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Other Names 1

Doing Business AsAviva Health Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0867765

Umpqua Community Health Inc (dba Aviva Health)-Roseburg · Roseburg, OR
Active · expires May 2, 2028
CLIA Number38D0867765
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorJay J. Richards
Laboratory Phone(541) 672-9596
Laboratory LocationUmpqua Community Health Inc (dba Aviva Health)-Roseburg150 Kenneth Ford Dr, Roseburg, OR 97470
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2298118

Umpqua Community Health Inc (dba Aviva Health)-Glide · Glide, OR
Active · expires Jan 28, 2028
CLIA Number38D2298118
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJay J. Richards
Laboratory Phone(541) 672-9596
Laboratory LocationUmpqua Community Health Inc (dba Aviva Health)-Glide20170 N Umpqua Hwy, Glide, OR 97443
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2298120

Umpqua Community Health Inc (dba Aviva Health)-Drain · Drain, OR
Active · expires Jan 28, 2028
CLIA Number38D2298120
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJay J. Richards
Laboratory Phone(541) 672-9596
Laboratory LocationUmpqua Community Health Inc (dba Aviva Health)-Drain316 West A Avenue, Drain, OR 97435
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2298126

Umpqua Community Health Inc (dba Aviva Health)-Sutherlin · Sutherlin, OR
Active · expires Jan 28, 2028
CLIA Number38D2298126
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJay J. Richards
Laboratory Phone(541) 672-9596
Laboratory LocationUmpqua Community Health Inc (dba Aviva Health)-Sutherlin775 Taylor St, Sutherlin, OR 97479
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 38D2298068

Umpqua Community Health Inc (dba Aviva Health)-Sbhc · Roseburg, OR
Active · expires Jan 25, 2028
CLIA Number38D2298068
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorJay J. Richards
Laboratory Phone(541) 672-9596
Laboratory LocationUmpqua Community Health Inc (dba Aviva Health)-Sbhc400 W Harvard Avenue, Roseburg, OR 97470
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MS. DANIELA ESTRADA MADRID SMITH LCSW
Social Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umpqua Community Health Center, Inc.'s NPI number?

The NPI number for Umpqua Community Health Center, Inc. is 1023747813. It was assigned to this organization in the NPPES registry on June 7, 2022. The provider is doing business as Aviva Health Pharmacy.

Where is Umpqua Community Health Center, Inc. located?

Umpqua Community Health Center, Inc. is located at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Umpqua Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Umpqua Community Health Center, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Umpqua Community Health Center, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Umpqua Community Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Umpqua Community Health Center, Inc. was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.