ROGUE COMMUNITY HEALTH
NPI 1073511721
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Active since July 07, 2005CLIA 38D0666834 · Waiver
19 MYRTLE STREET, MEDFORD, OR 97504(541) 773-3863(541) 776-2892 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Oct 15, 2020 (2 updates tracked since 2020).

About Rogue Community Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGUE COMMUNITY HEALTH (NPI 1073511721) is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Calisa N Warnke, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073511721
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameROGUE COMMUNITY HEALTH
Location Address19 MYRTLE STREETMedford, OR 97504-7337
Mailing Address1221 Disk DrMedford, OR 97501-6638 · (541) 773-3863 · Fax (541) 776-2892
Fax(541) 776-2892
Organization SubpartNo
Authorized OfficialCalisa N WarnkeCfo · (541) 842-7642
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1073511721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
19 MYRTLE STREET, Medford, OR 97504

Other Identifiers 1

Medicaid227698OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rogue Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20031220000016Part A · Federally Qualified Health Center (FQHC)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Rogue Community Health, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner11
Mental Health Counselor9
Family Practice7
Clinical Social Worker4
Registered Dietitian or Nutrition Professional2
Emergency Medicine1
Osteopathic Manipulative Medicine1
Pediatric Medicine1

Nearest to this location (20)

See all 36
Family Practice
NPI 1003813627
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609904853
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497049415
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306457767
19 MYRTLE ST
Medford, OR 97504
(541) 878-2022
✔ PECOSSame address
Family Practice
NPI 1073510426
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1013495522
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710305875
19 MYRTLE ST
Medford, OR 97504
(543) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245694819
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1194313833
900 E MAIN ST
Medford, OR 97504
(541) 842-7705
✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1851969471
900 E MAIN ST
Medford, OR 97504
(541) 690-0533
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205533155
1000 E MAIN ST
Medford, OR 97504
(541) 842-7705
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1437526332
1000 E MAIN ST
Medford, OR 97504
(541) 773-3863
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1053967570
1000 E MAIN ST
Medford, OR 97504
(541) 500-0977
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1952725392
1000 E MAIN ST
Medford, OR 97504
(541) 500-0977
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1881211696
1000 E MAIN ST
Medford, OR 97504
(541) 500-0977
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1871110023
1000 E MAIN ST
Medford, OR 97504
(541) 842-7705
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1437910239
1000 E MAIN ST
Medford, OR 97504
(541) 842-7705
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1528818978
825 BENNETT AVE
Medford, OR 97504
(541) 779-5228
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1154424158
1322 E MCANDREWS RD STE 202
Medford, OR 97504
(541) 773-3688
✔ PECOS1.0 mi
Mental Health Counselor
NPI 1477947851
1322 E MCANDREWS RD STE 202
Medford, OR 97504
(541) 773-3688
✔ PECOS✔ Accepts Medicare1.0 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0666834

Rogue Community Health · Medford, OR
Active · expires Feb 1, 2027
CLIA Number38D0666834
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorDaniel Weiner
Laboratory Phone(541) 773-3863
Laboratory LocationRogue Community Health19 Myrtle Street, Medford, OR 97504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rogue Community Health's NPI number?

The NPI number for Rogue Community Health is 1073511721. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Rogue Community Health located?

Rogue Community Health is located at 19 Myrtle Street, Medford, OR 97504. The listed phone number is (541) 773-3863.

What is Rogue Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Rogue Community Health enrolled in Medicare?

Yes. Rogue Community Health is registered in the Medicare PECOS enrollment system.

When is Rogue Community Health's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oregon, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rogue Community Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 8 Medicare specialties reassign their Medicare billing to Rogue Community Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Mental Health Counselor (9) and Family Practice (7). Of these, 10 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rogue Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0666834) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rogue Community Health accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Rogue Community Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rogue Community Health was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.