Rogue Community Health Dental Clinic
LBN: Rogue Community Health
Rogue Community Health Dental Clinic is an health care organization with primary practice located at 11160 Highway 62 Ste A , Eagle Point OR 97524-8025. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Rogue Community Health can be contacted via phone (541) 773-3863, or through Warnke, Calisa via phone (541) 842-7642.
Contact Information
Primary practice address
11160 Highway 62 Ste A
Eagle Point OR 97524-8025
Phone: (541) 773-3863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1417529611 |
|---|---|
| LBN Legal business name | Rogue Community Health |
| DBA Doing business as | Rogue Community Health Dental Clinic |
| Authorized official | Warnke, Calisa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2021 |
| Last updated | Jul 16th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417529611 | NPPES |
| Oregon | MEDICAID | 227698 |
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