WINDING WATERS WALLOWA
NPI 1700453396
Clinic/Center - Federally Qualified Health Center (FQHC) in Wallowa, OR
About Winding Waters Wallowa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINDING WATERS WALLOWA (NPI 1700453396) is a healthcare organization registered as a federally qualified health center (fqhc) in Wallowa, Oregon and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Keli Jean Dennis, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 2
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 38D2232076
Winding Waters Wallowa · Enterprise, ORCertificate of Waiver 38D2307946
Winding Waters Downtown · Enterprise, OROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Winding Waters Medical Clinic's NPI number?
The NPI number for Winding Waters Medical Clinic is 1700453396. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Winding Waters Wallowa.
Where is Winding Waters Medical Clinic located?
Winding Waters Medical Clinic is located at 605 W Hwy 82, Wallowa, OR 97885. The listed phone number is (541) 426-4502.
What is Winding Waters Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Winding Waters Medical Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Winding Waters Medical Clinic accept?
Health plans from UnitedHealthcare list Winding Waters Medical Clinic 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 Winding Waters Medical Clinic was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Winding Waters Wallowa · NPI 1700453396
Federally Qualified Health Center (FQHC) organization in Wallowa, Oregon. Organization record, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1700453396 (Entity type: Organization)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Winding Waters Medical Clinic
- **Organization subpart:** Yes (part of Winding Waters Medical Clinic)
- **Authorized official:** Keli Dennis, COO
## Practice location
- **Address:** 605 W HWY 82, Wallowa, OR 97885-8544
- **Phone:** (541) 426-4502
## Record status
- **NPPES last updated:** September 14, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700453396) · Data from the CMS NPPES public registry.