Sherman County Health District

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHERMAN COUNTY HEALTH DISTRICT

Doing business as

Sherman County Medical Clinic

Practice address

110 Main St
Moro, OR 97039-3080

Phone

(541) 565-0536

Fax

(541) 565-3617

NPI assigned

Oct 10, 2005

Last updated

Dec 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Caitlin M Blagg

Title

District Administrator

Phone

(541) 565-0536

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sherman County Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982692372. Details of each certification follow.

• CCN 383820 Rural health clinic · Active · Details

Rural health clinic certification: CCN 383820

Legal name

SHERMAN COUNTY HEALTH DISTRICT

Doing business as

SHERMAN COUNTY MEDICAL CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 21, 1990

Last certification

Aug 14, 2024

Ownership / control type

2B

Organization structure

OtherNon-profit

Enrollment address

110 Main Street
Moro, OR 97039-3080

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Gail Dillon, M.D.

  • Family Medicine Physician
  • Bend, OR
  • NPI 1649252362
  Medicare reassignment Care Compare group NPD
• Erin L Haines, PA-C

  • Medical Physician Assistant
  • Moro, OR
  • NPI 1467651018
  Medicare reassignment Care Compare group
• Shawn L Payne, CHW

  • Community Health Worker
  • Moro, OR
  • NPI 1063003390
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1982692372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "MORO",
            "state": "OR",
            "postal_code": "970390186",
            "telephone_number": "541-565-0536",
            "fax_number": "541-565-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "MORO",
            "state": "OR",
            "postal_code": "970393080",
            "telephone_number": "541-565-0536",
            "fax_number": "541-565-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BLAGG",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "541-565-0536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "383820",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165028",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sherman County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Sherman (Sherman County Ambulance)
• Erin L Haines, PA-C
• Mid-Columbia Center for Living (McCfl Moro)
• Shawn L Payne, CHW
• Kalie Rolfe
• Tracy Willett, M.D.

• Rural Health Clinic/Center in Moro, OR
• Providers in Moro, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.