COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
NPI 1063502714
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseburg, OR
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cow Creek Band Of Umpqua Tribe Of Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Cow Creek Band Of Umpqua Tribe Of Indians, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 40Columbus, OH 43205
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Cow Creek Band Of Umpqua Tribe Of Indians enrolled in Medicare?
Yes. Cow Creek Band Of Umpqua Tribe Of Indians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cow Creek Band Of Umpqua Tribe Of Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 9 Medicare specialties reassign their Medicare billing to Cow Creek Band Of Umpqua Tribe Of Indians. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (19), Nurse Practitioner (8) and Clinical Social Worker (3). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cow Creek Band Of Umpqua Tribe Of Indians accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Cow Creek Band Of Umpqua Tribe Of Indians · NPI 1063502714
Federally Qualified Health Center (FQHC) organization in Roseburg, Oregon. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1063502714 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** COW CREEK HEALTH & WELLNESS CTR (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sharon Stanphill, CHIEF HEALTH OFFICER
## Practice location
- **Address:** 2589 NW EDENBOWER BLVD, Roseburg, OR 97471-6220
- **Phone:** (541) 672-8533 · **Fax:** (855) 670-1791
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 40 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (19), Nurse Practitioner (8), Clinical Social Worker (3); 5 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1063502714/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2025
- **Other identifiers:** Medicaid 500745176 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1063502714) · Data from the CMS NPPES public registry.