COW CREEK BAND OF UMPQUA TRIBE OF INDIANS (NPI# 1063502714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063502714 |
| Entity Type | Organization |
| Organization Name | COW CREEK BAND OF UMPQUA TRIBE OF INDIANS |
| Other Organization Name | COW CREEK HEALTH & WELLNESS CTR |
| Practice Address |
2371 Ne Stephens St Ste 200 Roseburg OR 97470-1399 |
| Practice Telephone | 5416728533 |
| Practice Fax Number | 5416779870 |
| Mailing Telephone | 5416728533 |
| Mailing Fax Number | 5416779870 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J RONDEAU (COO) |
| Authorized Official Telephone | 5416729405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 165772 | 05 |
| Other Name | Type Code |
|---|---|
| COW CREEK HEALTH & WELLNESS CTR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134567993 | Cow Creek Band of Umpqua Tribe of Indians | Clinic/Center | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2013-06-13 |
| Street Address |
2371 NE STEPHENS ST STE 200 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565649 | Darlene Chapman | Assistant Behavior Analyst | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2019-05-29 |
| 1386127298 | Lauren Michelle Haddock | Dietitian, Registered | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2018-09-07 |
| 1205104718 | Cow Creek Health & Wellness Ctr | Counselor | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2011-12-12 |
| 1598923252 | Donald Dale Gilbert | Counselor | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2008-05-29 |
| 1942481650 | Mary L Hagood | Family Medicine | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2007-11-21 |
| 1285795583 | Mark William Macdonald | Family Medicine | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2006-12-12 |
| 1063570463 | Patricia A Hedges | Family Medicine | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205166691 | Monarch Medical Group LLC | Clinic/Center | 780 Nw Garden Valley Blvd Ste 46b, Roseburg, OR 97471-6528 | 2010-01-06 |
| 1982835880 | Sustainable Enterprises Inc | Clinic/Center | 725 Se Main St Ste A, Roseburg, OR 97470-3938 | 2009-07-27 |
| 1750402913 | Douglas County Childrens Center, Inc | Clinic/Center | 545 W Umpqua St Ste 1, Roseburg, OR 97471-2979 | 2007-04-03 |
| 1457351991 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2005-07-27 |
| 1972013332 | Umpqua Health Transitional Care, LLC | Clinic/Center | 2801 Nw Mercy Dr Ste 330, Roseburg, OR 97471-2348 | 2017-10-11 |
| 1760810527 | Pacific Healthcare Services, P.C. | Clinic/Center | 340 Nw Medical Loop, Roseburg, OR 97471-1645 | 2013-10-14 |
| 1225352032 | Arlan G. Zastrow, Md, LLC | Clinic/Center | 320 Nw Medical Loop, Roseburg, OR 97471-1645 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
| 1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
| 1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
| 1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.