Cow Creek Band Of Umpqua Tribe Of Indians
May also be knows as Cow Creek Health & Wellness Center
Federally Qualified Health Center (FQHC) in Canyonville, OR(View on Map)
Legal Business Name
Cow Creek Band Of Umpqua Tribe Of Indians
Also Known As
Cow Creek Health & Wellness Center
NPI Number
1134567993
NPI Type
Organization
Enumeration Date
06/13/2013
Specialties
(Taxonomies)Code
261QF0400X
261Q00000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
2371 NE STEPHENS ST
480 WARTAHOO LN
City
Roseburg
Canyonville
State
OR
OR
Postal Code
97470-1372
97417-9683
Country
US
US
Telephone Number
(541) 672-8533
(541) 839-1345
Authorized Official
Name
Sharon Stanphill
Title or Position
CHIEF HEALTH OFFICER
Telephone Number
(541) 672-8533
Identifiers
Identifier
500745176
Identifier State
OR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/05/2021
Provider Address
Other Federally Qualified Health Center (FQHC) in Canyonville, Oregon:
Cow Creek Health & Wellness Annex
May also be known as Cow Creek Health & Wellness Annex
Canyonville, ORSpecialties: Federally Qualified Health Center (FQHC) (Primary)Clinic/Center