WINDING WATERS MEDICAL CLINIC NPI 1598284242

NPI Information

WINDING WATERS MEDICAL CLINIC is a federally qualified health center (fqhc) clinic center in Joseph, OR. WINDING WATERS MEDICAL CLINIC NPI is 1598284242. The provider is registered as an organization entity type.
The provider Is Doing Business As Winding Waters Joseph.

The provider's business location address is:

401B N MAIN ST
JOSEPH, OR
ZIP 97846-030
Phone: (541) 426-4502
Fax: (541) 426-6403

The provider's authorized official is Keli Jean Christman .
The authorized official title is Coo and has the following contact phone number (541) 426-4502.

The CLIA number assigned to this NPI record is 38D0628581 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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