NPIMap

Organization Active NPI

Umpqua Health - Harvard, LLC

  • Rural Health Clinic/Center
  • Roseburg, OR
National Provider Identifier
1659519171
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UMPQUA HEALTH - HARVARD, LLC
Practice address
1813 W Harvard Ave
Suite 201
Roseburg, OR 97471-2754
Phone
(541) 440-6390
Fax
(541) 440-6392
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Sue Goldberg
Title
VP, Network & Business Development
Phone
(541) 464-4079

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X 500609279 OR
Rural Health Clinic/Center 261QR1300X OR Primary

Addresses

Primary practice location

1813 W Harvard Ave
Suite 201
Roseburg, OR 97471-2754

Mailing address

PO Box 1023
Roseburg, OR 97470-0232
Phone (541) 440-6390

Other names 1

  • Umpqua Regional Medical Center, LLC Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1659519171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700232",
            "telephone_number": "541-440-6390",
            "fax_number": "541-440-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 201",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712754",
            "telephone_number": "541-440-6390",
            "fax_number": "541-440-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA HEALTH - HARVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "VP, NETWORK & BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "541-464-4079"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": "500609279",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umpqua Regional Medical Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 8, 2017; 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.