NPIMap

Organization Active NPI

Lower Umpqua Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Reedsport, OR
National Provider Identifier
1063460095
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
140639 Issued in OR
Legal business name
LOWER UMPQUA HOSPITAL DISTRICT
Practice address
600 Ranch Road
Reedsport, OR 97467
Phone
(541) 271-2171
Fax
(541) 271-6380
NPI assigned
May 4, 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
Medicare Defined Swing Bed Hospital Unit 275N00000X 140639 OR Primary

Addresses

Primary practice location

600 Ranch Road
Reedsport, OR 97467

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000353 OR Part A Provider - Critical Access Hospital 6800703562 Receives reassigned benefits from 1 practitioner
Practice locations: Reedsport, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063460095. Details of each certification follow.

Hospital certification: CCN 38Z311

Legal name
LOWER UMPQUA HOSPITAL DISTRICT
Organization structure
OtherNon-profit
Incorporated
Oct 26, 1954 in OR
Enrollment address
600 Ranch Rd
Reedsport, OR 97467-1720
Other Hospital Practice 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).

National Provider Directory

National Provider Directory
Tax ID family
Dwain M Watkins Crna6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Kenneth G Landau Individual Corporate OfficerCfo Sep 26, 2023
W-2 Managing EmployeeCfo Sep 26, 2023
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
Laura McCorkle Individual Corporate DirectorBoard Member Jul 1, 2023
Karen Bedard Individual Corporate DirectorBoard Member May 16, 2017
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 HospitalReedsport, OR, CCN 381311 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 14

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 14

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1063460095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RANCH ROA",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "97467",
            "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 ROAD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "97467",
            "telephone_number": "541-271-2171",
            "fax_number": "541-271-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER UMPQUA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "140639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.