Organization Active NPI

VA Roseburg Health Care System

  • Emergency Care Clinic/Center
  • Roseburg, OR
National Provider Identifier
1497002091
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
VA ROSEBURG HEALTH CARE SYSTEM
Practice address
607 Corona Loop Rd
Roseburg, OR 97471-9133
Phone
(541) 733-2909
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Joshua Lester Bracken
Title
RN
Phone
(541) 733-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

607 Corona Loop Rd
Roseburg, OR 97471-9133

Mailing address

607 Corona Loop
Roseburg, OR 97471
Phone (541) 733-2909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1497002091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CORONA LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-733-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CORONA LOOP RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719133",
            "telephone_number": "541-733-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA ROSEBURG HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "541-733-2909"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.