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DOUGLAS COUNTY WIC
NPI 1093189151
Public Health or Welfare in Roseburg, OR

Active since November 30, 2015CLIA 38D2162885 · Waiver
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3516 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas County Wic NPPES

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

DOUGLAS COUNTY WIC (NPI 1093189151) is a healthcare organization registered as a public health or welfare in Roseburg, Oregon and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Micheal Fieldman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093189151
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameUNITED COMMUNITY ACTION NETWORK
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address280 Ne Kenneth Ford DrRoseburg, OR 97470-1034 · (541) 492-3501
Phone(541) 440-3516
Organization SubpartNo
Authorized OfficialMicheal FieldmanExecutive Director · (541) 672-3421
Enumeration DateNovember 30, 2015
✔ NPI 1093189151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
621 W MADRONE ST, Roseburg, OR 97470
Open in Google Maps ↗

Other Names 1

Doing Business AsDouglas County Wic

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 38D2162885

United Community Action Network Wic Program · Roseburg, OR
Active · expires Mar 3, 2027
CLIA Number38D2162885
Laboratory TypeWic Program
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorWendy M. Osincup
Laboratory Phone(541) 440-3516
Laboratory LocationUnited Community Action Network Wic Program280 Kenneth Ford Dr, Roseburg, OR 97470
CLIA data matches this NPI record on: Name 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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 United Community Action Network's NPI number?

The NPI number for United Community Action Network is 1093189151. It was assigned to this organization in the NPPES registry on November 30, 2015. The provider is doing business as Douglas County Wic.

Where is United Community Action Network located?

United Community Action Network is located at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3516.

What is United Community Action Network's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does United Community Action Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2162885) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for United Community Action Network was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.