Organization
WINDING WATERS MEDICAL CLINIC
Active
Parent organization
WINDING WATERS MEDICAL CLINIC
Other names
Hearts for Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDING WATERS MEDICAL CLINIC
Authorized official
KELI JEAN DENNIS (COO)
(541) 426-4502
Entity
Organization
Contact information
Practice address
606 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1245
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
09/12/2023
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