ROGUE COMMUNITY HEALTH (NPI# 1194070557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194070557 |
| Entity Type | Organization |
| Organization Name | ROGUE COMMUNITY HEALTH |
| Practice Address |
19 Myrtle St Medford OR 97504-7337 |
| Mailing Address |
201 S Mountain Ave Ashland OR 97520-2165 |
| Practice Telephone | 5418427677 |
| Practice Fax Number | 5418427671 |
| Mailing Telephone | 5418427677 |
| Mailing Fax Number | 5418427671 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | CALISA N WARNKE (CFO) |
| Authorized Official Telephone | 5418427642 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
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 |
| 1154753069 | Rogue Community Health | Clinic/Center | 280 Mill Creek Dr, Prospect, OR 97536-9722 | 2013-08-01 |
| 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 |
| 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 |
19 MYRTLE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560116 | Cynthia Mary Harper | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2005-06-28 |
| 1427665017 | Katlin Mostue-nesbit | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2020-09-28 |
| 1295398766 | Lindsey R Robinson | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2019-04-19 |
| 1699246520 | Yvonne Renee Anderson | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2018-12-17 |
| 1003385550 | Olivia Cortez | Interpreter | 19 Myrtle St, Medford, OR 97504-7337 | 2018-11-14 |
| 1982115978 | Edna Cydne Collins | Social Worker | 19 Myrtle St, Medford, OR 97504-7337 | 2017-10-17 |
| 1396273561 | Alison Sigler | Pharmacist | 19 Myrtle St, Medford, OR 97504-7337 | 2017-05-31 |
| 1548792245 | Rogue Community Health | Clinic/Center | 19 Myrtle St, Medford, OR 97504-7337 | 2017-03-31 |
| 1255889366 | Rachel Thompson | Pharmacist | 19 Myrtle St, Medford, OR 97504-7337 | 2016-09-18 |
| 1861893406 | Matthew Vereecke | Counselor | 19 Myrtle St, Medford, OR 97504-7337 | 2014-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1497090971 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 713 Summit Avenue, Medford, OR 97501 | 2012-12-10 |
| 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 |
| 1184237489 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 1011 La Loma Dr, Medford, OR 97504-8613 | 2020-08-26 |
| 1578090221 | Rch Hep C Program | Clinic/Center | 900 E Main St, Medford, OR 97504-7136 | 2017-05-12 |
| 1548792245 | Rogue Community Health | Clinic/Center | 19 Myrtle St, Medford, OR 97504-7337 | 2017-03-31 |
| 1093266983 | Rogue Community Health | Clinic/Center | 906 Royal Ct, Medford, OR 97504-6139 | 2016-10-17 |
| 1023561560 | Rogue Community Health | Clinic/Center | 900 E Main St, Medford, OR 97504-7136 | 2016-08-02 |
| 1669848792 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 730 Biddle Rd, Medford, OR 97504 | 2015-08-12 |
| Find all providers in MEDFORD | ||||
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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.