NPIMap

Organization Active NPI

Community Cancer Foundation

Doing business as Community Cancer Center

  • Registered Dietitian
  • Roseburg, OR
National Provider Identifier
1982833752
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COMMUNITY CANCER FOUNDATION
Doing business as
Community Cancer Center
Practice address
2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201
Phone
(541) 673-2267
Fax
(541) 672-9483
NPI assigned
Jul 14, 2009
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY CANCER FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Melvin Cheney
Title
Executive Director
Phone
(541) 673-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X OR Primary

Addresses

Primary practice location

2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201

Mailing address

2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201
Phone (541) 673-2267

Other names 1

  • Community Cancer Center Doing business as

National Provider Directory

National Provider Directory
Part of
Community Cancer Foundation

Practitioners & affiliated clinicians

Practitioners 4

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": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1982833752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CANCER FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CANCER FOUNDATION",
        "enumeration_date": "2009-07-14",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-673-2267"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Cancer Center",
            "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 Feb 21, 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.