| Table Rock Health Center | |
|
2830 Maple Ct White City OR 97503-1357 | |
| (541) 830-1350 | |
| (541) 830-6566 |
| Full Name | Table Rock Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2830 Maple Ct, White City, 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 |
|---|---|
| Table Rock Health Center 2830 Maple Ct White City OR 97503-1357 Ph: (541) 830-1350 | Table Rock Health Center 2830 Maple Ct White City OR 97503-1357 Ph: (541) 830-1350 |
| NPI Number | 1912450461 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912450461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
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