Organization
COMMUNITY HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARBY D BAKER (OPERATIONS MANAGER)
(541) 677-6006
Entity
Organization
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 440-3532
(541) 440-3554
Mailing address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471-8700
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670863
—
OR
Enumeration date
04/15/2016
Last updated
04/15/2016
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