NPIMap

Organization Active NPI

One Community Health

  • Federally Qualified Health Center (FQHC)
  • The Dalles, OR
National Provider Identifier
1700570231
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ONE COMMUNITY HEALTH
Practice address
1010 Webber Street
The Dalles, OR 97058
Phone
(541) 386-6380
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Jennifer Griffith
Title
Chief People Officer
Phone
(541) 256-4406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Migrant Health Clinic/Center 261QM1000X

Addresses

Primary practice location

1010 Webber Street
The Dalles, OR 97058

Mailing address

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Other identifiers 2

IdentifierTypeStateIssuer
1033269204MedicaidOR
022876MedicaidOR

Other names 1

  • OCH Express Clinic Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040203000264 OR Part B Supplier - Clinic/Group Practice 6305759283 Receives reassigned benefits from 65 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dufur, OR; Hood River, OR; The Dalles, OR
O20240430001409 OR Part A Provider - Federally Qualified Health Center (FQHC) 6305759283 Practice locations: The Dalles, OR

Federally qualified health center certification: CCN 381029

Legal name
ONE COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 28, 2024
Last certification
May 28, 2024
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Aug 3, 2023 in OR
Enrollment address
1010 Webber St
The Dalles, OR 97058-3749

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2286068One Community Health - Express1010 Webber Street, The Dalles, OR 97058Provider-performed microscopyJul 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
One Community Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Suzanne Cross Individual Corporate DirectorBoard Member Aug 3, 2023
Reyna Bella Fonte Individual Corporate DirectorBoard Member Aug 3, 2023
Mark Thomas Individual Corporate DirectorBoard Member Aug 3, 2023
Troy Frostad Individual Corporate DirectorBoard Member Aug 3, 2023
Habacuc Jara Individual Corporate DirectorBoard Member Aug 3, 2023
Shawn Whalen Individual Corporate Director Aug 3, 2023
Yesentia Victoria Deras Individual Corporate DirectorBoard Member Aug 3, 2023
Jane Sharpe Individual Corporate DirectorBoard Member Aug 3, 2023
Shannon Saldivar Individual Corporate Director Aug 3, 2023
Maria Castro Individual Corporate DirectorBoard Member Aug 3, 2023
Jennifer Griffith Individual Corporate OfficerChief Executive Officer Jan 1, 2024
Corporate DirectorChief Executive Officer Jan 1, 2024
W-2 Managing EmployeeChief Executive Officer Jan 1, 2024
Renerose Hinkle Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Corporate DirectorChief Financial Officer Aug 22, 2022
Tiffany Davis Individual Corporate DirectorBoard Member Aug 3, 2023
Jonathan Kara Individual Corporate DirectorBoard Member Aug 3, 2023
Amy Klee Individual Corporate Director Aug 3, 2023
Ian Chandler Individual Corporate Director Aug 3, 2023
Jesse James Jones Individual Corporate DirectorBoard Member Aug 3, 2023
Eli Bello Individual Corporate Director Aug 3, 2023
Charlie Hogue Individual Corporate DirectorBoard Member Aug 3, 2023
Colleen Wahto Individual Corporate DirectorBoard Member Aug 3, 2023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1700570231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WEBBER STREET",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF PEOPLE OFFICER",
        "authorized_official_telephone_number": "541-256-4406"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033269204",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022876",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCH Express Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.