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COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
NPI 1063502714
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseburg, OR

Active since October 13, 2006
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471(541) 672-8533(855) 670-1791 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, Nov 19, 2021, Aug 5, 2021 and 1 more (4 updates tracked since 2020).

About Cow Creek Band Of Umpqua Tribe Of Indians NPPES

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

COW CREEK BAND OF UMPQUA TRIBE OF INDIANS (NPI 1063502714), doing business as Cow Creek Health & Wellness Ctr, is a healthcare organization registered as a federally qualified health center (fqhc) in Roseburg, Oregon and active in the NPI registry since October 2006. The organization lists Sharon A Stanphill, Chief Health Officer, as its authorized official.

NPPES Registry Identity

NPI1063502714
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Location Address2589 NW EDENBOWER BLVDRoseburg, OR 97471-6220
Mailing Address2371 Ne Stephens St Ste 200Roseburg, OR 97470-1399 · (541) 672-8533 · Fax (541) 677-9870
Phone(541) 672-8533
Fax(855) 670-1791
Organization SubpartNo
Authorized OfficialSharon A StanphillChief Health Officer · (541) 672-8533
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1063502714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2589 NW EDENBOWER BLVD, Roseburg, OR 97471
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Other Names 1

Doing Business AsCow Creek Health & Wellness Ctr

Other Identifiers 1

Medicaid500745176OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 14

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

CARLY BLEMMEL MSHR. LPC
Counselor (Professional)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 839-1345
MR. JERRY ROBERT SMEAD R.PH.
Pharmacist (Pharmacotherapy)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-4334
KATHERINE E LADD
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 492-5267
MRS. PATRICIA ELIZABETH OCHS
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533
MS. KIMBERLY ANN TALLEY APRN
Nurse Practitioner (Family)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 529-9190
NORTH RIVER PEDIATRICS, LLC
Pediatrics
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-6116
COW CREEK HEALTH AND WELLNESS PHARMACY
Pharmacist
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533
HANNAH CORBETT
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533

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 Cow Creek Band Of Umpqua Tribe Of Indians's NPI number?

The NPI number for Cow Creek Band Of Umpqua Tribe Of Indians is 1063502714. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Cow Creek Health & Wellness Ctr.

Where is Cow Creek Band Of Umpqua Tribe Of Indians located?

Cow Creek Band Of Umpqua Tribe Of Indians is located at 2589 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 672-8533.

What is Cow Creek Band Of Umpqua Tribe Of Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Cow Creek Band Of Umpqua Tribe Of Indians accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Cow Creek Band Of Umpqua Tribe Of Indians 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 Cow Creek Band Of Umpqua Tribe Of Indians was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.