NPIMap

Organization Active NPI

VA Roseburg Healthcare System

Doing business as VA Hospital

  • Case Management Agency
  • Rosburg, OR
National Provider Identifier
1922111673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VA ROSEBURG HEALTHCARE SYSTEM
Doing business as
VA Hospital
Practice address
1433 SE Main
Rosburg, OR 97470-4213
Phone
(541) 440-1000
Fax
(541) 440-1273
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vance Kent MorrisNPI 1558448308
Title
Rehabilitation Technician
Phone
(541) 440-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1433 SE Main
Rosburg, OR 97470-4213

Mailing address

1433 SE Main St
Roseburg, OR 97470-4213

Other names 1

  • VA Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922111673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 SE MAIN ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 SE MAIN",
            "city": "ROSBURG",
            "state": "OR",
            "postal_code": "974704213",
            "telephone_number": "541-440-1000",
            "fax_number": "541-440-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA ROSEBURG HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "REHABILITATION TECHNICIAN",
        "authorized_official_telephone_number": "541-440-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.