Organization
WATERFALL CLINIC, INCORPORATED
Active
Parent organization
WATERFALL CLINIC, INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERFALL CLINIC, INCORPORATED
Authorized official
AVA KATHLEEN MCFERON (CEO ASST.)
(541) 435-7033
Entity
Organization
Contact information
Practice address
826 S 11TH ST, COOS BAY, OR 97420
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST, STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647633
—
OR
Enumeration date
11/23/2011
Last updated
02/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us