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COW CREEK HEALTH & WELLNESS CENTER
NPI 1134567993
Clinic/Center - Federally Qualified Health Center (FQHC) in Canyonville, OR

Active since June 13, 2013CLIA 38D0862023 · Waiver
480 WARTAHOO LN, CANYONVILLE, OR 97417(541) 839-1345(855) 670-1791 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cow Creek Health & Wellness Center NPPES

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

COW CREEK HEALTH & WELLNESS CENTER (NPI 1134567993) is a healthcare organization registered as a federally qualified health center (fqhc) in Canyonville, Oregon and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Sharon A Stanphill, Chief Health Officer, as its authorized official.

NPPES Registry Identity

NPI1134567993
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Location Address480 WARTAHOO LNCanyonville, OR 97417-9683
Mailing Address2371 Ne Stephens St, Suite 200Roseburg, OR 97470-1372 · (541) 672-8533
Phone(541) 839-1345
Fax(855) 670-1791
Organization SubpartNo
Authorized OfficialSharon A StanphillChief Health Officer · (541) 672-8533
Enumeration DateJune 13, 2013
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1134567993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
480 WARTAHOO LN, Canyonville, OR 97417
Open in Google Maps ↗

Other Names 1

Doing Business AsCow Creek Health & Wellness Center

Other Identifiers 1

Medicaid500745176OR

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 38D0862023

Cow Creek Health And Wellness Center · Roseburg, OR
Active · expires Feb 29, 2028
CLIA Number38D0862023
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorAric A. Groshong
Laboratory Phone(541) 672-8533
Laboratory LocationCow Creek Health And Wellness Center2589 NW Edenbower Blvd, Roseburg, OR 97471
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 2

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

VALERIE LEE RENEAU LMT
Massage Therapist
480 WARTAHOO LN
CANYONVILLE, OR 97417
Douglas County (541) 672-8533
DR. CAROLYN ELIZABETH SIMMONS M.D.
Family Medicine
480 WARTAHOO LN
CANYONVILLE, OR 97417
Douglas County (541) 839-1345

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 1134567993. It was assigned to this organization in the NPPES registry on June 13, 2013. The provider is doing business as Cow Creek Health & Wellness Center.

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

Cow Creek Band Of Umpqua Tribe Of Indians is located at 480 Wartahoo Ln, Canyonville, OR 97417. The listed phone number is (541) 839-1345.

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.

Does Cow Creek Band Of Umpqua Tribe Of Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0862023) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cow Creek Band Of Umpqua Tribe Of Indians was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.