ROGUE COMMUNITY HEALTH (NPI# 1154753069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154753069 |
| Entity Type | Organization |
| Organization Name | ROGUE COMMUNITY HEALTH |
| Practice Address |
280 Mill Creek Dr Prospect OR 97536-9722 |
| Mailing Address |
19 Myrtle St Medford OR 97504-7337 |
| Practice Telephone | 5415601180 |
| Practice Fax Number | 5415601194 |
| Mailing Telephone | 5418427626 |
| Mailing Fax Number | 5418427640 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | CALISA N WARNKE (CFO) |
| Authorized Official Telephone | 5418427642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912450461 | Rogue Community Health | Clinic/Center | 2830 Maple Ct, White City, OR 97503-1357 | 2016-08-02 |
| 1740733286 | Rogue Community Health | Clinic/Center | 550 Wilson Way, White City, OR 97503-1351 | 2016-08-02 |
| 1790059731 | Rogue Community Health | Clinic/Center | 203 N Platt Street, Eagle Point, OR 97524-0198 | 2012-03-07 |
| 1093099616 | Rogue Community Health | Clinic/Center | 722 Laurel Street, Butte Falls, OR 97522-0244 | 2011-09-30 |
| 1205998309 | Rogue Community Health | Clinic/Center | 99 Central Avenue, Ashland, OR 97520-1787 | 2006-12-14 |
| 1770645871 | Rogue Community Health | Clinic/Center | 8385 Division Road, White City, OR 97503-1176 | 2006-12-14 |
| 1073511721 | Rogue Community Health | Clinic/Center | 19 Myrtle Street, Medford, OR 97504-7337 | 2005-07-07 |
| 1275132466 | Rogue Community Health | Clinic/Center | 1000 E Main St, Medford, OR 97504-7667 | 2020-10-20 |
| 1841709532 | Rogue Community Health | Clinic/Center | 37 Schoolhouse Ln, Shady Cove, OR 97539-9500 | 2017-09-25 |
| 1548792245 | Rogue Community Health | Clinic/Center | 19 Myrtle St, Medford, OR 97504-7337 | 2017-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGUE COMMUNITY HEALTH | 19 Myrtle St, Medford, OR 97504-7337 |
| Oregon Corporations, Companies and Business Names | ROGUE COMMUNITY HEALTH | 900 E Main St, Medford, OR 97504 |
| Street Address |
280 MILL CREEK DR |
| City | PROSPECT |
| State | OR |
| Zip Code | 97536-9722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487985115 | Barbara Beebe Long | Marriage & Family Therapist | 44335 Hwy 62, Prospect, OR 97536-9703 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1225636608 | Hannah Elizabeth Colt | Respiratory Therapist, Certified | 30 Blue Trail Dr, Prospect, CT 06712-1401 | 2020-10-16 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1043821648 | Melissa Anne Peet | Physical Therapist | 40 Union City Rd, Prospect, CT 06712-1584 | 2020-08-17 |
| 1316556335 | Matthew Gregory Gleis | Dentist | 10515 Meeting St Unit 104, Prospect, KY 40059-6524 | 2020-07-26 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1669091898 | Eliza S Homer | Counselor | 6 Hilltop Ln, Prospect, ME 04981-4158 | 2020-04-08 |
| 1902432537 | Dhda Providerco, Pllc | Dentist | 13104 W Highway 42, Prospect, KY 40059-9102 | 2020-03-16 |
| 1023642485 | Dunn Physical Therapy, Pllc | Clinic/Center | 9506 Norton Commons Blvd, Prospect, KY 40059-7520 | 2020-02-25 |
| 1619500980 | Next Step Counseling, LLC | Social Worker | 37 Juggernaut Rd, Prospect, CT 06712-1407 | 2020-02-14 |
| Find all providers in PROSPECT | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.