Organization · Type 2 NPI
Rogue Community Health
Federally Qualified Health Center (FQHC) · Prospect, OR
NPI number
1154753069
Active
Practice location
280 Mill Creek Dr
Prospect, OR 97536-9722
Fax (541) 560-1194
Mailing address
19 Myrtle St
Medford, OR 97504-7337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1154753069
Rogue Community Health's National Provider Identifier is 1154753069, issued on Aug 1, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Prospect, OR. The record was last updated on Oct 15, 2020.