| Rogue Community Health | |
|
8385 Division Road White City OR 97503-1176 | |
| (541) 826-5853 | |
| (541) 826-5843 |
| Full Name | Rogue Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 8385 Division Road, White City, Oregon |
| Authorized Official Name and Position | Calisa N Warnke (CFO) |
| Authorized Official Contact | 5418427642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Community Health 8385 Division Road White City OR 97503-1176 Ph: (541) 826-5853 | Rogue Community Health 8385 Division Road White City OR 97503-1176 Ph: (541) 826-5853 |
| NPI Number | 1770645871 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 1557266236 |
|---|---|
| Medicare Enrollment ID | O20031220000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770645871 | NPI | - | NPPES |
| 227698 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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