Organization
ROGUE COMMUNITY HEALTH
Active
Other names
Rogue Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CALISA N WARNKE (CFO)
(541) 842-7642
Entity
Organization
Contact information
Practice address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 842-7705
(541) 842-7640
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 842-7704
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
10/20/2020
Last updated
10/31/2023
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