UMPQUA COMMUNITY HEALTH CENTER, INC.
NPI 1396751772
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseburg, OR
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 1396751772) is a healthcare organization registered as a federally qualified health center (fqhc) in Roseburg, Oregon and active in the NPI registry since July 2006. The organization lists Kc Bolton, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Umpqua Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Umpqua Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 15 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 52Source: 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 Umpqua Community Health Center, Inc.'s NPI number?
The NPI number for Umpqua Community Health Center, Inc. is 1396751772. It was assigned to this organization in the NPPES registry on July 31, 2006.
Where is Umpqua Community Health Center, Inc. located?
Umpqua Community Health Center, Inc. is located at 150 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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Umpqua Community Health Center, Inc. enrolled in Medicare?
Yes. Umpqua Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Umpqua Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 14 Medicare specialties reassign their Medicare billing to Umpqua Community Health Center, Inc.. 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 Family Practice (18), Nurse Practitioner (10) and Clinical Social Worker (4). Of these, 15 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Umpqua Community Health Center, Inc. accept?
Health plans from BridgeSpan Health Company, Delta Dental Plan of Oregon, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer 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 28, 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.
# Umpqua Community Health Center, Inc. · NPI 1396751772
Federally Qualified Health Center (FQHC) organization in Roseburg, Oregon. Organization record, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1396751772 (Entity type: Organization)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kc Bolton, CEO
## Practice location
- **Address:** 150 KENNETH FORD DR, Roseburg, OR 97470-1042
- **Phone:** (541) 672-9596 · **Fax:** (541) 464-3519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (18), Nurse Practitioner (10), Clinical Social Worker (4); 15 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1396751772/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
- **Other identifiers:** Medicaid 168395 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396751772) · Data from the CMS NPPES public registry.