ROGUE COMMUNITY HEALTH (NPI# 1841709532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841709532 |
| Entity Type | Organization |
| Organization Name | ROGUE COMMUNITY HEALTH |
| Practice Address |
37 Schoolhouse Ln Shady Cove OR 97539-9500 |
| Mailing Address |
900 E Main St Medford OR 97504-7136 |
| Practice Telephone | 5418781400 |
| Mailing Telephone | 15418427704 |
| Mailing Fax Number | 5418427640 |
| Enumeration Date | 2017-09-25 |
| 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 |
| 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 |
| 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 |
37 SCHOOLHOUSE LN |
| City | SHADY COVE |
| State | OR |
| Zip Code | 97539-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548779549 | Valerie June Dubois | Social Worker | 37 Schoolhouse Ln, Shady Cove, OR 97539-9500 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421811 | John Paul Hurd | Chiropractor | 21885 Or62, Shady Cove, OR 97539 | 2020-06-16 |
| 1811488851 | Shady Cove Chiropractic and Massage, LLC | Chiropractor | 21885 Or-62, Shady Cove, OR 97539 | 2018-05-25 |
| 1427444264 | Philip Broesamle | Counselor | 60 Mallory Ln., Shady Cove, OR 97539 | 2015-04-08 |
| 1285060772 | Neil Dale Arnspiger | Behavioral Analyst | 159 Train Lane, Shady Cove, OR 97539 | 2013-09-17 |
| 1285952101 | Dan Dale Kelly | Driver | 120 Birch St, Shady Cove, OR 97539 | 2010-05-17 |
| 1104089309 | Kelly Clayton Fnp Inc | Clinic/Center | 387 Pinetop Terrace, Shady Cove, OR 97539 | 2008-07-08 |
| 1285786525 | Robert Russell Bennett | Chiropractor | 21885 Highway 62, Shady Cove, OR 97539 | 2007-01-17 |
| 1881770808 | Sisters of Providence In Oregon | Clinic/Center | 25 Erickson Avenue, Shady Cove, OR 97539 | 2006-10-31 |
| 1053424622 | Phillip Bruce Lassen | Dentist | 21978 Hwy 62, Shady Cove, OR 97539-1236 | 2006-08-16 |
| 1922249382 | David Lee Thompson | Physical Therapy Assistant | 20 Laurel Dr, Shady Cove, OR 97539-3602 | 2009-03-16 |
| Find all providers in zip 97539 | ||||
| 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 | ||||
| City | SHADY COVE |
| Zip Code | 97539 |
Please comment or provide details below to improve the information on ROGUE COMMUNITY HEALTH.
| 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.