Organization
ROGUE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALISA N WARNKE (CFO)
(541) 842-7642
Entity
Organization
Contact information
Practice address
280 MILL CREEK DR, PROSPECT, OR 97536-9722
(541) 560-1180
(541) 560-1194
Mailing address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 842-7626
(541) 842-7640
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
08/01/2013
Last updated
10/15/2020
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