Waterfall Clinic, Incorporated

LBN: Waterfall Clinic, Incorporated
Waterfall Clinic, Incorporated is an health care organization with primary practice located at 1890 Waite St Ste 1 , North Bend OR 97459-1229. 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. Waterfall Clinic, Incorporated can be contacted via phone (541) 756-6232, or through Trenner, Andrea via phone (541) 756-6232.

Contact Information

Primary practice address
1890 Waite St Ste 1 North Bend OR 97459-1229
Phone: (541) 756-6232
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trenner, Andrea
Phone: (541) 756-6232

Health care specialties

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

Profile Details

NPI number 1003445032
LBN Legal business name Waterfall Clinic, Incorporated
DBA Doing business as
Authorized official Trenner, Andrea
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2020
Last updated Apr 2nd, 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 1003445032 NPPES
Oregon MEDICAID 213342

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