UMPQUA COMMUNITY HEALTH CENTER, INC.
NPI 1609065010
Clinic/Center - Federally Qualified Health Center (FQHC) in Glide, OR

Active since October 22, 2007
20170 NORTH UMPQUA HIGHWAY, GLIDE, OR 97443(541) 496-3504(541) 464-3519 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 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 1609065010) is a healthcare organization registered as a federally qualified health center (fqhc) in Glide, Oregon and active in the NPI registry since October 2007. The organization lists Kc Bolton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609065010
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameUMPQUA COMMUNITY HEALTH CENTER, INC.
Location Address20170 NORTH UMPQUA HIGHWAYGlide, OR 97443
Mailing Address150 Kenneth Ford DriveRoseburg, OR 97470-1042 · (541) 672-9596 · Fax (541) 464-3519
Fax(541) 464-3519
Organization SubpartNo
Authorized OfficialKc BoltonCeo · (541) 672-9596
Enumeration DateOctober 22, 2007
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1609065010 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
20170 NORTH UMPQUA HIGHWAY, Glide, OR 97443

Other Identifiers 1

Medicaid168395OR

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

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Umpqua Community Health Center, Inc., which bills Medicare for the services they deliver. 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
Nurse Practitioner
NPI 1831741594
775 TAYLOR STREET
Sutherlin, OR 97479
(541) 492-2087
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1336520162
123 PONDEROSA DR
Sutherlin, OR 97479
(541) 459-3788
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1851750517
150 SE KENNETH FORD DRIVE
Roseburg, OR 97470
(541) 492-6087
✔ PECOS14 mi
Family Practice
NPI 1285684001
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1962726612
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare14 mi
Rheumatology
NPI 1366433781
150 NE KENNETH FORD DR
Roseburg, OR 97470
(416) 729-5965
✔ PECOS14 mi
Nurse Practitioner
NPI 1144822644
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 580-1148
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1518696434
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare14 mi
Pediatric Medicine
NPI 1306873393
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1396132775
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS14 mi
General Practice
NPI 1497531974
150 NE KENNETH FORD DR
Roseburg, OR 97470
(541) 672-9596
✔ PECOS✔ Accepts Medicare14 mi
Registered Dietitian or Nutrition Professional
NPI 1386127298
2371 NE STEPHENS ST STE 200
Roseburg, OR 97470
(541) 672-8533
15 mi
Psychiatry
NPI 1437338928
621 W MADRONE ST
Roseburg, OR 97470
(541) 492-4550
✔ PECOS✔ Accepts Medicare15 mi
Infectious Disease
NPI 1972688828
2550 NW EDENBOWER BLVD SUITE 104
Roseburg, OR 97471
(541) 229-4009
✔ PECOS15 mi
Psychiatry
NPI 1972168219
2700 NW STEWART PKWY
Roseburg, OR 97471
(541) 673-0611
✔ PECOS✔ Accepts Medicare15 mi
Certified Nurse Midwife (CNM)
NPI 1538642566
2460 NW STEWART PKWY STE 240
Roseburg, OR 97471
(541) 677-4427
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1417990003
2460 NW STEWART PKWY SUITE 240
Roseburg, OR 97471
(541) 677-4427
✔ PECOS✔ Accepts Medicare16 mi
Certified Nurse Midwife (CNM)
NPI 1982642542
2460 NW STEWART PKWY SUITE 240
Roseburg, OR 97470
(541) 677-4427
✔ PECOS✔ Accepts Medicare16 mi
Registered Dietitian or Nutrition Professional
NPI 1104924406
1813 W HARVARD AVE STE 427
Roseburg, OR 97471
(541) 784-5966
✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1831248491
517 W SHENANDOAH ST
Roseburg, OR 97471
(541) 580-0525
✔ PECOS17 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 1609065010. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Umpqua Community Health Center, Inc. located?

Umpqua Community Health Center, Inc. is located at 20170 North Umpqua Highway, Glide, OR 97443. The listed phone number is (541) 496-3504.

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). 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 Providence Health Plan 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.