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Cow Creek Band Of Umpqua Tribe Of Indians
Federally Qualified Health Center (FQHC) in Canyonville, Oregon
NPI 1134567993

Cow Creek Band Of Umpqua Tribe Of Indians is a Federally Qualified Health Center (FQHC) based in Roseburg, OR and is specialized in Federally Qualified Health Center (FQHC). Cow Creek Band Of Umpqua Tribe Of Indians practices in Canyonville, OR. The NPI Number for Cow Creek Band Of Umpqua Tribe Of Indians is 1134567993 and holds a License No. (Oregon).

The current practice location address for Cow Creek Band Of Umpqua Tribe Of Indians is 480 Wartahoo Ln, Canyonville, OR and can be reached out via phone at 541-839-1345 and via fax at 855-670-1791.

Location: 480 Wartahoo Ln, Canyonville, OR, 97470-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134567993
Provider Name
Cow Creek Band Of Umpqua Tribe Of Indians
Credential
Provider Entity Type
Organization
Address
480 Wartahoo Ln, Canyonville, OR, 97470-1372
Phone Number
541-839-1345
Fax Number
855-670-1791
Provider Enumeration Date
06/13/2013
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
500745176 05 OR
institution
Provider Business Practice Location Address Details
Address
480 Wartahoo Ln
City
Canyonville
State
Oregon
Zip
97417-9683
Phone Number
541-839-1345
Fax Number
855-670-1791
person
Provider Business Mailing Address Details
Address
480 Wartahoo Ln
City
Canyonville
State
Oregon
Zip
97417-9683
Phone Number
541-839-1345
Fax Number
855-670-1791
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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