| Rogue Community Health | |
|
280 Mill Creek Dr Prospect OR 97536-9722 | |
| (541) 560-1180 | |
| (541) 560-1194 |
| Full Name | Rogue Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 280 Mill Creek Dr, Prospect, Oregon |
| Authorized Official Name and Position | Calisa N Warnke (CFO) |
| Authorized Official Contact | 5418427642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Community Health 19 Myrtle St Medford OR 97504-7337 Ph: (541) 842-7626 | Rogue Community Health 280 Mill Creek Dr Prospect OR 97536-9722 Ph: (541) 560-1180 |
| NPI Number | 1154753069 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154753069 | NPI | - | NPPES |
| 227698 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |