Rogue Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Eagle Point, OR
NPI 1417529611 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1417529611
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ROGUE COMMUNITY HEALTH
- Practice address
- 11160 Highway 62 Ste a
Eagle Point, OR 97524-8025 - Phone
- (541) 773-3863
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Calisa Warnke
- Title
- Cfo
- Phone
- (541) 842-7642
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
11160 Highway 62 Ste a
Eagle Point, OR 97524-8025
Mailing address
1000 E Main St
Medford, OR 97504-7667
Phone (541) 773-3863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227698 | Medicaid | OR |
Other names
- Rogue Community Health Dental Clinic
Other providers in Eagle Point, OR
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
- Robert L Nutting
- Wendy Robinson
- Rogue Community Health
- Rogue Community Health
- Judy Alethe Rudy
- Amanda Salas
- Jennifer D Schnell
- Brandon Matthew Schultz
All providers in Eagle Point, OR · Federally Qualified Health Center (FQHC) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.