Community Cancer Foundation

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

COMMUNITY CANCER FOUNDATION

Doing business as

Community Cancer Center

Practice address

2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201

Phone

(541) 673-2267

Fax

(541) 672-9483

NPI assigned

Oct 5, 2006

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Turner

Title

Executive Director

Phone

(541) 673-2267

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Cancer Center Doing business as

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: cccroseburg@directaddress.net

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1376639153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CANCER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-673-2267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000773",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCCRoseburg@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Secure Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2880 NW Stewart Pkwy Ste 100",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCCRoseburg@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Secure Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2880 NW Stewart Pkwy Ste 100",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commonspirit Oregon (Mercy Medical Center Roseburg)
• Commonspirit Oregon (CHI Mercy Medical Center)
• Commonspirit Oregon (CHI Mercy Medical Center)
• Commonspirit Oregon (Mercy Medical Center Hospice)
• Commonspirit Oregon (Mercy Medical Center Roseburg)
• Community Cancer Foundation (Community Cancer Center)
• Community Cancer Foundation (Community Cancer Center)
• Community Health Alliance
• Community Health Alliance
• Meredith Ann Concepcion, LCSW

• Radiology Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Radiology Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.