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
8385 DIVISION ROAD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
8385 DIVISION ROAD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
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
12/14/2006
Last updated
10/15/2020
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