Organization
UMPQUA COMMUNITY HEALTH CENTER, INC.
Active
Other names
UCHC Denture Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KC BOLTON (CEO)
(541) 672-9596
Entity
Organization
Contact information
Practice address
1423 NW FAIRMOUNT ST, ROSEBURG, OR 97470-2065
(541) 672-9596
(541) 492-2060
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
(541) 492-2060
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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