WINDING WATERS MEDICAL CLINIC


Address: 401b N Main St, Joseph, OR 97846-5030
Phone: 5414264502

WINDING WATERS MEDICAL CLINIC (NPI# 1598284242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598284242
Entity Type Organization
Organization Name WINDING WATERS MEDICAL CLINIC
Other Organization Name WINDING WATERS JOSEPH
Practice Address 401b N Main St
Joseph
OR 97846-5030
Mailing Address 603 Medical Pkwy
Enterprise
OR 97828-5124
Practice Telephone 5414264502
Practice Fax Number 5414266403
Mailing Telephone 5414264502
Mailing Fax Number 5414266403
Enumeration Date 2017-09-13
Last Update Date 2017-10-13
Authorized Official Name KELI JEAN CHRISTMAN (COO)
Authorized Official Telephone 5414264502
Is Organization Subpart Y
Parent Organization Name WINDING WATERS MEDICAL CLINIC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Winding Waters Joseph Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518426493 Winding Waters Medical Clinic Family Medicine 758 Nw 1st St, Enterprise, OR 97828-1527 2019-03-19
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

Other Data Sources

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

Office Location

Street Address 401B N MAIN ST
City JOSEPH
State OR
Zip Code 97846-5030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285935627 Crystal Renea Locke Massage Therapist 701 S Lake St, Joseph, OR 97846 2010-11-16
1285947721 Chief Joseph Dental Clinic, LLC Clinic/Center 401 B North Main Street, Joseph, OR 97846 2010-07-26
1346483393 Wallowa Valley Home Medical Equipment, LLC Durable Medical Equipment & Medical Supplies 83365 Joseph Highway, Joseph, OR 97846 2009-04-07
1215172663 Wallowa Valley Center for Wellness Community Based Residential Treatment Facility, Mental Illness 301 E.seventh Street, Joseph, OR 97846 2008-12-12
1174779144 Tammy Lynn Kruger Registered Nurse 403 E. 7th Street, Joseph, OR 97846 2008-08-11
1295773463 Kirsten Elizabeth Tallent Caine Family Medicine 100 N. East St, Joseph, OR 97846 2006-06-02
1225075849 R. Devee Boyd Family Medicine 100 N. East Street, Joseph, OR 97846 2006-06-01
1356388094 Traci M. Frye Family Medicine 100 N. East Street, Joseph, OR 97846 2006-06-01
1154547537 Charles Jeffrey Harman Counselor 601main St, Joseph, OR 97846-0000 2007-04-17
1356388078 Wallowa Mountain Medical Family Medicine 100 North East Street, Joseph, OR 97846-1038 2006-06-01
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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
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
1912450461 Rogue Community Health Clinic/Center 2830 Maple Ct, White City, OR 97503-1357 2016-08-02
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Competitor

Search similar providers

City JOSEPH
Zip Code 97846

Improve Information

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Dataset Information

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.

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