COW CREEK BAND OF UMPQUA TRIBE OF INDIANS (NPI# 1134567993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134567993 |
| Entity Type | Organization |
| Organization Name | COW CREEK BAND OF UMPQUA TRIBE OF INDIANS |
| Other Organization Name | COW CREEK HEALTH & WELLNESS CENTER |
| Practice Address |
480 Wartahoo Ln Canyonville OR 97417-9683 |
| Mailing Address |
2371 Ne Stephens St Suite 200 Roseburg OR 97470-1372 |
| Practice Telephone | 5418391345 |
| Mailing Telephone | 5416728533 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | SHARON STANPHILL (HEALTH DIRECTOR) |
| Authorized Official Telephone | 5416728533 |
| 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 Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063502714 | Cow Creek Band of Umpqua Tribe of Indians | Clinic/Center | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2006-10-13 |
| Street Address |
480 WARTAHOO LN |
| City | CANYONVILLE |
| State | OR |
| Zip Code | 97417-9683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937673 | Carolyn Elizabeth Simmons | Family Medicine | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2006-01-21 |
| 1508426156 | Becky Ann Johnson | Dietitian, Registered | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611350 | Forest Glen | Assisted Living Facility | 200 Sw Frontage, Canyonville, OR 97417 | 2007-03-26 |
| 1205971439 | Ronald E Wilmot | Counselor | 152 Bettys Way St, 481, Canyonville, OR 97417 | 2007-02-21 |
| 1841333135 | Canyonville Chiropractic Inc | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-02-15 |
| 1407475577 | Robert Bakkegard | Pharmacist | 314 S Main Street, Canyonville, OR 97417 | 2020-04-09 |
| 1316322597 | Carrie Lovemark | Acupuncturist | 214 S Main St, Canyonville, OR 97417 | 2015-07-29 |
| 1255521225 | Falk Family Medicine, LLC | Family Medicine | 115 Sw Pine Street, Canyonville, OR 97417 | 2007-07-26 |
| 1689891269 | David Allen Stevens | Pharmacist | 314 S Main St, Canyonville, OR 97417 | 2007-04-18 |
| 1508987645 | James Brian Siegel | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-04-03 |
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1295882512 | Bonita Acosta | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2007-01-05 |
| Find all providers in zip 97417 | ||||
| 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 |
|---|---|---|---|---|
| 1205162021 | Cow Creek Health & Wellness Annex | Clinic/Center | 270 Gazley Bridge Rd, Canyonville, OR 97417-9718 | 2009-10-29 |
| 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 | ||||
| City | CANYONVILLE |
| Zip Code | 97417 |
Please comment or provide details below to improve the information on COW CREEK BAND OF UMPQUA TRIBE OF INDIANS.
| 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.