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WATERFALL CLINIC, INCORPORATED
NPI 1508133299
Clinic/Center - Federally Qualified Health Center (FQHC) in Coos Bay, OR

Active since November 23, 2011
826 S 11TH ST, COOS BAY, OR 97420(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waterfall Clinic, Incorporated NPPES

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

WATERFALL CLINIC, INCORPORATED (NPI 1508133299) is a healthcare organization registered as a federally qualified health center (fqhc) in Coos Bay, Oregon and active in the NPI registry since November 2011. The organization lists Ava Kathleen Mcferon, Ceo Asst., as its authorized official.

NPPES Registry Identity

NPI1508133299
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWATERFALL CLINIC, INCORPORATED
Location Address826 S 11TH STCoos Bay, OR 97420
Mailing Address1890 Waite St, Ste 1North Bend, OR 97459-1229 · (541) 756-6232 · Fax (541) 756-6234
Phone(541) 756-6232
Fax(541) 756-6234
Organization SubpartYes
Authorized OfficialAva Kathleen McferonCeo Asst. · (541) 435-7033
Enumeration DateNovember 23, 2011
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1508133299 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
826 S 11TH ST, Coos Bay, OR 97420
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Other Identifiers 1

Medicaid500647633OR

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 Waterfall Clinic, Incorporated's NPI number?

The NPI number for Waterfall Clinic, Incorporated is 1508133299. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Waterfall Clinic, Incorporated located?

Waterfall Clinic, Incorporated is located at 826 S 11th St, Coos Bay, OR 97420. The listed phone number is (541) 756-6232.

What is Waterfall Clinic, Incorporated's specialty?

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

When was this NPI record last updated?

The NPPES record for Waterfall Clinic, Incorporated was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.