Cow Creek Band of Umpqua Tribe of Indians
Cow Creek Band of Umpqua Tribe of Indians is a Clinic/Center in Canyonville, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
480 Wartahoo LnCanyonville, OR 97417-9683
Phone: (541) 839-1345
Fax: (855) 670-1791
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1134567993 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sharon Stanphill — Chief Health Officer · (541) 672-8533 |
| Other names | Cow Creek Health & Wellness Center; Cow Creek Health & Wellness Center |
| NPI enumerated | June 13, 2013 |
| Last updated in NPPES | August 5, 2021 |
| Certification date | August 5, 2021 |
| Mailing address | 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470-1372 |
Other providers in Canyonville
-
Cow Creek Health & Wellness Annex
270 Gazley Bridge Rd, Canyonville, OR 97417-9718 · (541) 839-1345