Organization
ROGUE COMMUNITY HEALTH
Active
Parent organization
COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER
Authorized official
CALISA N WARNKE (CFO)
(541) 842-7642
Entity
Organization
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 842-7677
(541) 842-7671
Mailing address
201 S MOUNTAIN AVE, ASHLAND, OR 97520-2165
(541) 842-7677
(541) 842-7671
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
07/20/2012
Last updated
10/15/2020
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