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NPI Code Detail

MEDICARE: UMPQUA RIVER NURSING & REHAB LLC

MEDICARE: UMPQUA RIVER NURSING & REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1376251710
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMPQUA RIVER NURSING & REHAB LLC
Provider Business Mailing Address
First Line : 10401 LINN STATION RD STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3825
Country : US
Telephone Number : 270-336-1050
Fax Number :
Provider Business Practice Location Address
First Line : 525 W UMPQUA ST
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-2952
Country : US
Telephone Number : 541-464-7100
Fax Number :
Authorized Official
Title or Position : CEO
Name : DONALD J. KNOX
Credential :
Telephone Number : 740-359-5401
Provider Enumeration Date : 11/14/2022
Last Update Date : 01/02/2025

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Directions to “UMPQUA RIVER NURSING & REHAB LLC ” Practice Location

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