KLAMATH TRIBAL HEALTH & FAMILY SERVICES
NPI 1629078274
Clinic/Center - Federally Qualified Health Center (FQHC) in Chiloquin, OR

Active since July 26, 2005
330 CHILOQUIN BLVD, CHILOQUIN, OR 97624(541) 783-2438(541) 783-3273 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2023, Feb 21, 2023, Oct 28, 2019 (3 updates tracked since 2019).

About Klamath Tribal Health & Family Services NPPES

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

KLAMATH TRIBAL HEALTH & FAMILY SERVICES (NPI 1629078274) is a healthcare organization registered as a federally qualified health center (fqhc) in Chiloquin, Oregon and active in the NPI registry since July 2005. The organization maintains a secondary practice location in Klamath Falls and lists Nikowa Nicole Mendez, Compliance Administrator, as its authorized official.

NPPES Registry Identity

NPI1629078274
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKLAMATH TRIBAL HEALTH & FAMILY SERVICES
Location Address330 CHILOQUIN BLVDChiloquin, OR 97624
Mailing Address3949 South 6th StreetKlamath Falls, OR 97603-4746 · (541) 882-1487 · Fax (541) 882-8277
Fax(541) 783-3273
Organization SubpartNo
Authorized OfficialNikowa Nicole MendezCompliance Administrator · (541) 882-1487
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1629078274 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
330 CHILOQUIN BLVD, Chiloquin, OR 97624

Secondary Practice Location 1

Location 16000 New WayKlamath Falls, OR 97601-9382 · Phone (541) 882-1487

Other Identifiers 1

Medicaid129861OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Klamath Tribal Health & Family Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Klamath Tribal Health & Family Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner7
Clinical Social Worker2
Family Practice2
Registered Dietitian or Nutrition Professional2
Rheumatology2
Internal Medicine1
Mental Health Counselor1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1326724600
330 CHILOQUIN BLVD
Chiloquin, OR 97624
(208) 501-4989
✔ PECOSSame address
Nurse Practitioner
NPI 1114448529
330 S CHILOQUIN BLVD
Chiloquin, OR 97624
(541) 882-1487
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1326310335
330 CHILOQUIN BLVD
Chiloquin, OR 97624
(541) 882-1487
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922694173
330 CHILOQUIN BLVD
Chiloquin, OR 97624
(541) 882-1487
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1700651080
6000 NEW WAY
Klamath Falls, OR 97601
(541) 882-1487
✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1275344624
6000 NEW WAY
Klamath Falls, OR 97601
(541) 884-1841
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1053884791
6000 NEW WAY
Klamath Falls, OR 97601
(541) 966-9830
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1902372683
6000 NEW WAY
Klamath Falls, OR 97601
(541) 884-1841
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1083614630
2821 DAGGETT AVE STE 200
Klamath Falls, OR 97601
(541) 274-8400
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1659972560
2821 DAGGETT AVE STE 100
Klamath Falls, OR 97601
(541) 274-6733
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1437166311
2821 DAGGETT AVE STE 200
Klamath Falls, OR 97601
(541) 274-8400
✔ PECOS23 mi
Family Practice
NPI 1679532501
19 MYRTLE ST
Medford, OR 97504
(541) 773-3863
✔ PECOS53 mi
Rheumatology
NPI 1104359561
2600 NE NEFF RD
Bend, OR 97701
(541) 706-7735
✔ PECOS✔ Accepts Medicare107 mi
Rheumatology
NPI 1245283605
2965 NE CONNERS AVE STE 127 ST. CHARLES RHEUMATOLOGY
Bend, OR 97701
(541) 706-7735
✔ PECOS✔ Accepts Medicare108 mi
Mental Health Counselor
NPI 1043614209
1631 E 2ND ST STE A
Austin, TX 78702
(512) 804-3380
✔ PECOS✔ Accepts Medicare1,582 mi
Nurse Practitioner
NPI 1215218292
4541 N STATE ST
Jackson, MS 39206
(601) 533-7017
✔ PECOS✔ Accepts Medicare1,866 mi
Nurse Practitioner
NPI 1932644267
3611 CARA DR
Springdale, MD 20774
(240) 462-5485
✔ PECOS2,348 mi

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

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 Klamath Tribal Health & Family Services's NPI number?

The NPI number for Klamath Tribal Health & Family Services is 1629078274. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Klamath Tribal Health & Family Services located?

Klamath Tribal Health & Family Services is located at 330 Chiloquin Blvd, Chiloquin, OR 97624. The listed phone number is (541) 783-2438.

What is Klamath Tribal Health & Family Services's specialty?

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

Is Klamath Tribal Health & Family Services enrolled in Medicare?

Yes. Klamath Tribal Health & Family Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Klamath Tribal Health & Family Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 7 Medicare specialties reassign their Medicare billing to Klamath Tribal Health & Family Services. 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 (7), Clinical Social Worker (2) and Family Practice (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Klamath Tribal Health & Family Services accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Klamath Tribal Health & Family Services 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 Klamath Tribal Health & Family Services was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.