NPIMap

Organization Active NPI

Lower Umpqua Hospital District

Doing business as Dunes Family Health Care

  • Rural Health Clinic/Center
  • Reedsport, OR
National Provider Identifier
1619900370
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOWER UMPQUA HOSPITAL DISTRICT
Doing business as
Dunes Family Health Care
Practice address
620 Ranch Rd
Reedsport, OR 97467
Phone
(541) 271-2163
Fax
(541) 271-4058
NPI assigned
Jul 8, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

620 Ranch Rd
Reedsport, OR 97467

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
276263MedicaidOR
R0000ZGBKROtherORMEDICARE PART B PTAN

Other names 1

  • Dunes Family Health Care Doing business as

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
This NPI is an additional NPI on the enrollment
Practice locations: Reedsport, OR
O20131018001008 OR Part A Provider - Rural Health Clinic 6800703562 Practice locations: Reedsport, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619900370. Details of each certification follow.

Rural health clinic certification: CCN 388513

Legal name
LOWER UMPQUA HOSPITAL DISTRICT
Doing business as
DUNES FAMILY HEALTH CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 5, 2013
Last certification
May 26, 2021
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
620 Ranch Rd
Reedsport, OR 97467-1720
Related CCNs
381311

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0627244Lower Umpqua Hosp Dba Dunes Family Health Care620 Ranch Rd, Reedsport, OR 97467Certificate of waiverDec 30, 2026

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.

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 Aug 5, 2013
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
Lower Umpqua Hospital DistrictReedsport, OR, CCN 38Z311 Hospital Operational/Managerial Control Jan 1, 1966

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 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1619900370",
    "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": "620 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "97467",
            "telephone_number": "541-271-2163",
            "fax_number": "541-271-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER UMPQUA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276263",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN",
            "identifier": "R0000ZGBKR",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunes Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dunes Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.