NPIMap

Organization Active NPI

Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
National Provider Identifier
1093266983
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ROGUE COMMUNITY HEALTH
Practice address
906 Royal CT
Medford, OR 97504-6139
Phone
(541) 414-0519
Fax
(541) 842-7774
NPI assigned
Oct 17, 2016
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Calisa Warnke
Title
Ceo
Phone
(541) 842-7642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OR Primary

Addresses

Primary practice location

906 Royal CT
Medford, OR 97504-6139

Mailing address

1221 Disk Dr
Medford, OR 97501-6638
Phone (541) 414-0519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226000885 OR Part B Supplier - Clinic/Group Practice 1557266236 Receives reassigned benefits from 47 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Medford, OR
O20170410001630 OR Part A Provider - Federally Qualified Health Center (FQHC) 1557266236 Practice locations: Medford, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093266983. Details of each certification follow.

Federally qualified health center certification: CCN 381974

Legal name
ROGUE COMMUNITY HEALTH
Doing business as
ROGUE DENTAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 20, 2017
Last certification
Feb 20, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 20, 1974 in OR
Enrollment address
906 Royal CT
Medford, OR 97504-6139

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy S Nordyke Individual Corporate Director Sep 1, 2020
Johnathan Caldwell Individual Corporate Director Sep 23, 2022
Eric Webb Individual Corporate Director Jan 1, 2026
John F. Mytinger Individual Corporate DirectorBoard Treasurer Jul 1, 2015
Gloria Barrios Individual Corporate Director Jan 1, 2026
Nate Sickler Individual Corporate Director Oct 24, 2019
Martha Miller Individual Corporate Director Sep 23, 2022
Doug D McKenzie Individual Corporate DirectorBoard President Feb 27, 2014
Stick Crosby Individual Corporate Director Jan 1, 2026
Calisa Noorda Warnke Individual Corporate OfficerCeo Sep 1, 2025
Britney Session Individual W-2 Managing EmployeeCfo Jun 27, 2016
Kathleen Donham Individual Corporate Director Jan 1, 2026
John E Littleton Individual Corporate Director Jan 1, 2026
Jackson Baures Individual Corporate Director Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1093266983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "541-414-0519",
            "fax_number": "541-842-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046139",
            "telephone_number": "541-414-0519",
            "fax_number": "541-842-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "WARNKE",
        "authorized_official_first_name": "CALISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-842-7642"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.