ROSEBURG VA HEALTH CARE SYSTEM NPI 1124110325

NPI Information

  • NPI: 1124110325
  • Provider Name: ROSEBURG VA HEALTH CARE SYSTEM
  • Classification: Military Hospital - 286500000X
  • Entity Type: Organization
  • Address: 913 NW GARDEN VALLEY BLVD
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 957-0653

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NPI Details

ROSEBURG VA HEALTH CARE SYSTEM is a military hospital in Roseburg, OR. The provider is a health care facility operated by the Department of Defense. ROSEBURG VA HEALTH CARE SYSTEM NPI is 1124110325. The provider is registered as an organization entity type.

The provider's business location address is:

913 NW GARDEN VALLEY BLVD
ROSEBURG, OR
ZIP 97470-523
Phone: (541) 957-0653

The provider's authorized official is Rosellen E Kimbrough .
The authorized official title is Chief Dentist and has the following contact phone number (541) 440-1000.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1286500000XMilitary Hospital7677OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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