WINDING WATERS MEDICAL CLINIC (NPI# 1518426493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518426493 |
| Entity Type | Organization |
| Organization Name | WINDING WATERS MEDICAL CLINIC |
| Other Organization Name | OPEN SPACE |
| Practice Address |
758 Nw 1st St Enterprise OR 97828-1527 |
| Mailing Address |
603 Medical Pkwy Enterprise OR 97828-5124 |
| Practice Telephone | 5414264502 |
| Mailing Telephone | 5414264502 |
| Mailing Fax Number | 5414266403 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | KELI JEAN DENNIS (COO) |
| Authorized Official Telephone | 5414264502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Open Space | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1679924112 | Winding Waters Medical Clinic | Clinic/Center | 507 S River St, Enterprise, OR 97828-1601 | 2016-06-27 |
| 1538527726 | Winding Waters Medical Clinic | Clinic/Center | 301 W Main St, Enterprise, OR 97828-1245 | 2016-02-03 |
| 1922475219 | Winding Waters Medical Clinic | Clinic/Center | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WINDING WATERS MEDICAL CLINIC | 603 Medical Pkwy, Enterprise, OR 97828-5124 |
| Oregon Corporations, Companies and Business Names | WINDING WATERS MEDICAL CLINIC | 603 Medical Parkway, Enterprise, OR 97828 |
| Street Address |
758 NW 1ST ST |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093877185 | Wallowa County Health Department | Case Management | 758 Nw 1st St, Enterprise, OR 97828-1527 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| 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 |
|---|---|---|---|---|
| 1679924112 | Winding Waters Medical Clinic | Clinic/Center | 507 S River St, Enterprise, OR 97828-1601 | 2016-06-27 |
| 1538527726 | Winding Waters Medical Clinic | Clinic/Center | 301 W Main St, Enterprise, OR 97828-1245 | 2016-02-03 |
| 1922475219 | Winding Waters Medical Clinic | Clinic/Center | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-08-21 |
| 1891856134 | Southeast Alabama Rural Health Associates | Clinic/Center | 105 E Watts St, Enterprise, AL 36330-2511 | 2006-12-12 |
| 1659457786 | Enterprise Valley Medical Clinic, Inc. | Clinic/Center | 223 South 200 East, Enterprise, UT 84725-0370 | 2006-10-31 |
| 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 | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on WINDING WATERS MEDICAL CLINIC.
| 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.