Rogue Community Health

LBN: Rogue Community Health
Rogue Community Health is an health care organization with primary practice located at 19 Myrtle St , Medford OR 97504-7337. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Rogue Community Health can be contacted via phone (541) 842-7677, or through Warnke, Calisa N via phone (541) 842-7642.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Phone: (541) 842-7677
Fax: (541) 842-7671
Website:
Map and Directions
Authorized official contact:
Name: Warnke, Calisa N
Phone: (541) 842-7642

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1194070557
LBN Legal business name Rogue Community Health
DBA Doing business as
Authorized official Warnke, Calisa N
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2012
Last updated Oct 15th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194070557 NPPES
Oregon MEDICAID 227698

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