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UMPQUA COMMUNITY HEALTH CENTER, INC.
NPI 1548835150
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseburg, OR

Active since May 25, 2021
3031 NE STEPHENS ST STE 900, ROSEBURG, OR 97470(541) 672-9596(541) 492-2060 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1548835150) is a healthcare organization registered as a federally qualified health center (fqhc) in Roseburg, Oregon and active in the NPI registry since May 2021. The organization lists Kc Bolton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548835150
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameUMPQUA COMMUNITY HEALTH CENTER, INC.
Location Address3031 NE STEPHENS ST STE 900Roseburg, OR 97470-6237
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042 · (541) 672-9596 · Fax (541) 492-2060
Phone(541) 672-9596
Fax(541) 492-2060
Organization SubpartNo
Authorized OfficialKc BoltonCeo · (541) 672-9596
Enumeration DateMay 25, 2021
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1548835150 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
3031 NE STEPHENS ST STE 900, Roseburg, OR 97470
Open in Google Maps ↗

Other Identifiers 1

Medicaid168395OR

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

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Umpqua Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice18
Nurse Practitioner10
Clinical Social Worker4
Registered Dietitian or Nutrition Professional4
Certified Nurse Midwife (CNM)3
Pediatric Medicine3
Mental Health Counselor2
Psychiatry2
6 other specialties6

Nearest to this location (20)

See all 52
Lauren Haddock, RD
Registered Dietitian or Nutrition Professional
NPI 1386127298
2371 NE STEPHENS ST STE 200
Roseburg, OR 97470
(541) 672-8533
0.4 mi
Derwood Basham, D.O.
Family Practice
NPI 1053535120
2371 NE STEPHENS ST SUITE 200
Roseburg, OR 97470
(541) 672-8533
✔ PECOS✔ Accepts Medicare0.4 mi
Kourosh Mehrazar, MD
Psychiatry
NPI 1972168219
2700 NW STEWART PKWY
Roseburg, OR 97471
(541) 673-0611
✔ PECOS✔ Accepts Medicare0.7 mi
Heather Holmes, MD
Family Practice
NPI 1124339544
2564 NW EDENBOWER BLVD, SUITE 126
Rosenburg, OR 97471
(541) 672-7718
✔ PECOS✔ Accepts Medicare0.7 mi
Brad Robinson, MD MPH
Infectious Disease
NPI 1972688828
2550 NW EDENBOWER BLVD SUITE 104
Roseburg, OR 97471
(541) 229-4009
✔ PECOS0.8 mi
Steven Prudencio, FNP
Nurse Practitioner
NPI 1811366545
340 NW MEDICAL LOOP
Roseburg, OR 97471
(541) 464-5907
✔ PECOS✔ Accepts Medicare0.8 mi
Jennifer Manson, FNP-C
Nurse Practitioner
NPI 1174098180
171 NW MEDICAL LOOP STE 1&2
Roseburg, OR 97471
(541) 537-8007
✔ PECOS✔ Accepts Medicare0.9 mi
Kathryn Lechner, CNM
Certified Nurse Midwife (CNM)
NPI 1538642566
2460 NW STEWART PKWY STE 240
Roseburg, OR 97471
(541) 677-4427
✔ PECOS✔ Accepts Medicare0.9 mi
Donald Wonderly, M.D.
Obstetrics/Gynecology
NPI 1417990003
2460 NW STEWART PKWY SUITE 240
Roseburg, OR 97471
(541) 677-4427
✔ PECOS✔ Accepts Medicare1.0 mi
Cheryl Hinshaw, CNM
Certified Nurse Midwife (CNM)
NPI 1982642542
2460 NW STEWART PKWY SUITE 240
Roseburg, OR 97470
(541) 677-4427
✔ PECOS✔ Accepts Medicare1.0 mi
Mitzi Thompson, NP
Nurse Practitioner
NPI 1912987926
2460 NW STEWART PARKWAY SUITE 104
Roseburg, OR 97471
(541) 677-4463
✔ PECOS✔ Accepts Medicare1.0 mi
Kim Smith, LPC
Mental Health Counselor
NPI 1396132775
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS1.2 mi
Robert Dannenhoffer, MD
Pediatric Medicine
NPI 1306873393
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare1.2 mi
Natalie Jones, FNP
Nurse Practitioner
NPI 1851660344
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS1.2 mi
Nathan Andrews, MD
Family Practice
NPI 1730685678
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare1.2 mi
Lexi Kennedy, CSWA
Clinical Social Worker
NPI 1518696434
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare1.2 mi
Carmela Solimine
General Practice
NPI 1497531974
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare1.2 mi
Polly Sepulvado, M.D.
Rheumatology
NPI 1366433781
150 NE KENNETH FORD DR
Roseburg, OR 97470
(416) 729-5965
✔ PECOS1.2 mi
Steven Jeffers, MD
Psychiatry
NPI 1437338928
621 W MADRONE ST
Roseburg, OR 97470
(541) 492-4550
✔ PECOS✔ Accepts Medicare2.2 mi
Virginia Terry, R.D.
Registered Dietitian or Nutrition Professional
NPI 1104924406
1813 W HARVARD AVE STE 427
Roseburg, OR 97471
(541) 784-5966
✔ Accepts Medicare2.4 mi
See all 52 clinicians

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 Umpqua Community Health Center, Inc.'s NPI number?

The NPI number for Umpqua Community Health Center, Inc. is 1548835150. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Umpqua Community Health Center, Inc. located?

Umpqua Community Health Center, Inc. is located at 3031 NE Stephens St Ste 900, 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, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.