NPIMap

Organization Active NPI

Douglas County Childrens Center, Inc

  • Clinic/Center
  • Roseburg, OR
National Provider Identifier
1750402913
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00819782-7 Issued in OR
Legal business name
DOUGLAS COUNTY CHILDRENS CENTER, INC
Practice address
1939 NE Diamond Lake Blvd
Roseburg, OR 97470-3573
Phone
(541) 957-5646
Fax
(541) 957-0191
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Rhonda Foster
Title
Billing/Credentialing Dept
Phone
(541) 957-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00819782-7 OR Primary

Addresses

Primary practice location

1939 NE Diamond Lake Blvd
Roseburg, OR 97470-3573

Mailing address

1939 NE Diamond Lake Blvd
Roseburg, OR 97470-3573
Phone (541) 957-5646

Other identifiers 2

IdentifierTypeStateIssuer
500698816OtherORMENTAL HEALTH
165534MedicaidOR

Other names 1

  • Douglas C.A.R.E.S Doing business as

National Provider Directory

National Provider Directory

Locations

545 W Umpqua St
Ste 1
Roseburg, OR 97471
Phone (541) 957-5646

256 SE Stephens St
Roseburg, OR 97470
Phone (541) 957-5646

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1750402913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 NE DIAMOND LAKE BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-957-5646",
            "fax_number": "541-957-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 NE DIAMOND LAKE BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-957-5646",
            "fax_number": "541-957-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY CHILDRENS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING DEPT",
        "authorized_official_telephone_number": "541-957-5646"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "00819782-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "500698816",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165534",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas C.A.R.E.S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2025; 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.