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).
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 |
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 Name | Type Code |
---|---|
Winding Waters Joseph | Doing Business As Name - Organization |
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 |
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 |
401B N MAIN ST |
City | JOSEPH |
State | OR |
Zip Code | 97846-5030 |
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 |
Find all providers in zip 97846 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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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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.