Organization
ROGUE COMMUNITY HEALTH
Active
Other names
Table Rock Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CALISA N WARNKE (CFO)
(541) 842-7642
Entity
Organization
Contact information
Practice address
2830 MAPLE CT, WHITE CITY, OR 97503-1357
(541) 830-1350
(541) 830-6566
Mailing address
2830 MAPLE CT, WHITE CITY, OR 97503-1357
(541) 830-1350
(541) 830-6566
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OR
Other
Enumeration date
08/02/2016
Last updated
10/31/2023
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