Organization
WINDING WATERS MEDICAL CLINIC
Active
Parent organization
WINDING WATERS MEDICAL CLINIC
Other names
Winding Waters Public 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
107 SW 1ST ST, ENTERPRISE, OR 97828-1285
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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