NPIMap

Organization Active NPI

Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
National Provider Identifier
1003874819
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
140639 Issued in OR
Legal business name
LOWER UMPQUA HOSPITAL DISTRICT
Practice address
600 Ranch Rd
Reedsport, OR 97467-1720
Phone
(541) 271-2171
Fax
(541) 271-2941
NPI assigned
May 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Green
Title
Ceo
Phone
(541) 271-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 140639 OR Primary

Addresses

Primary practice location

600 Ranch Rd
Reedsport, OR 97467-1720

Mailing address

600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2171

Other practice location 1

385 Ranch Rd
Reedsport, OR 97467-1707
Phone (541) 271-2119

Other practice location 2

780 Winchester Ave
Reedsport, OR 97467-1528
Phone (541) 271-1259

Other practice location 3

620 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2163

Other identifiers 2

IdentifierTypeStateIssuer
000054MedicaidOR
R0000ZGBKROtherORMEDICARE PART B PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000228 OR Part B Supplier - Clinic/Group Practice 6800703562 Receives reassigned benefits from 85 practitioners
1 other NPI on this enrollment
Practice locations: Reedsport, OR
O20061104000583 OR Part A Provider - Critical Access Hospital 6800703562 Receives reassigned benefits from 59 practitioners
Practice locations: Reedsport, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003874819. Details of each certification follow.

Hospital certification: CCN 381311

Legal name
LOWER UMPQUA HOSPITAL DISTRICT
Doing business as
LOWER UMPQUA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 24, 2002
Last certification
Jul 1, 2024
Beds
24
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Oct 26, 1954 in OR
Enrollment address
600 Ranch Rd
Reedsport, OR 97467-1720
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lower Umpqua Hospital DistrictCCN 381311 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

620 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2163

780 Winchester Ave
Reedsport, OR 97467
Phone (503) 271-2312

Networks

  • devoted network organization-54bc88f0-8c1c-41b6-b022-755ebfe4d22c

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Green Individual Corporate OfficerCeo Jun 30, 2026
W-2 Managing Employee Jun 30, 2026
Johnathon M Chivers Individual Corporate OfficerCeo Sep 13, 2021
W-2 Managing EmployeeCeo Sep 13, 2021
Ronald Kreskey Individual Corporate DirectorBoard Member May 19, 2015
Lee Bridge Individual Corporate DirectorBoard Member Aug 5, 2013
Lower Umpqua Hospital District Organization, Reedsport, OR Operational/Managerial Control Jan 1, 1966
Elise N Dumo Individual Corporate OfficerCfo Mar 16, 2026
Cheryl Young Individual Corporate DirectorBoard Member Apr 1, 2013

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lower Umpqua Hospital DistrictReedsport, OR, CCN 38Z311 Hospital Operational/Managerial Control Jan 1, 1966
Dunes Family Health CareReedsport, OR, CCN 388513 Rural health clinic Operational/Managerial Control Aug 5, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 87

Affiliated clinicians 78

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 78

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1003874819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671720",
            "telephone_number": "541-271-2171",
            "fax_number": "541-271-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671720",
            "telephone_number": "541-271-2171",
            "fax_number": "541-271-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Reedsport",
            "state": "OR",
            "postal_code": "974671707",
            "country_code": "US",
            "telephone_number": "541-271-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Reedsport",
            "state": "OR",
            "postal_code": "974671528",
            "country_code": "US",
            "telephone_number": "541-271-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Reedsport",
            "state": "OR",
            "postal_code": "974671720",
            "country_code": "US",
            "telephone_number": "541-271-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOWER UMPQUA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-271-6313"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "140639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN",
            "identifier": "R0000ZGBKR",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.