| Rogue Community Health Dental Clinic | |
|
11160 Highway 62 Ste A Eagle Point OR 97524-8025 | |
| (541) 773-3863 | |
| Not Available |
| Full Name | Rogue Community Health Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11160 Highway 62 Ste A, Eagle Point, Oregon |
| Authorized Official Name and Position | Calisa Warnke (CFO) |
| Authorized Official Contact | 5418427642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Community Health Dental Clinic 1000 E Main St Medford OR 97504-7667 Ph: (541) 773-3863 | Rogue Community Health Dental Clinic 11160 Highway 62 Ste A Eagle Point OR 97524-8025 Ph: (541) 773-3863 |
| NPI Number | 1417529611 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417529611 | NPI | - | NPPES |
| 227698 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Crisdental Eagle Point Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Main St, Eagle Point, OR 97524 Phone: 541-672-2747 | |
Eagle Point Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11160 Highway 62 Ste A, Eagle Point, OR 97524 Phone: 541-826-0599 Fax: 541-826-0602 | |
Eagle Point Dental Group,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Main Street, Eagle Point, OR 97524 Phone: 541-826-2525 Fax: 541-826-2876 |