Children’s hospital · OR
Roseburg Vaccination Clinic
Filed as Umpqua Community Health Center, Inc..
Taking partNoTermination date filed1 April 2025Last certified12 February 2024
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- 17 June 2021In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Roseburg Vaccination Clinic”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH10310L. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 17 June 2021
- Termination date
- 1 April 2025
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 12 February 2024
- Record last edited
- 1 April 2025
Identifiers
- 340B ID
- CH10310L
- Entity type as filed
- CH
- Site ID
- BPS-H80-032345
- Grant number
- H80CS00567
- NPI
- 1588231021 (OR)
4221 NE Stephens St Ste 101, Roseburg OR 97470
Associated locations
| Roseburg Vaccination Clinic | 4221 NE Stephens St Ste 101 | Roseburg OR 97470 |
| Umpqua Community Health Center, Inc., dba Aviva Health | 150 NE Kenneth Ford Dr | Roseburg OR 97470 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.