ROGUE COMMUNITY HEALTH – Federally Qualified Health Center (FQHC), NPI 1073511721

ROGUE COMMUNITY HEALTH is a healthcare provider. based in Medford, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for ROGUE COMMUNITY HEALTH is 1073511721

Main info

Organization
Name
ROGUE COMMUNITY HEALTH
NPI
1073511721
Phone
(541) 773-3863
Address
1221 DISK DR
Authorized Official
CALISA N WARNKE CFO
Enumeration Date
7 July 2005
Last Update Date
4 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for ROGUE COMMUNITY HEALTH

  • 1221 DISK DR

    MEDFORD, OR 975016638

    Phone: (541) 773-3863

    Fax: (541) 776-2892

    Type: Mailing

  • 19, Myrtle Street, Wellington, Medford, Middlesex County, Massachusetts, 02148, United States

    MEDFORD, OR 975047337

    Phone: (541) 773-3863

    Fax: (541) 776-2892

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031220000016OFederally Qualified Health Center (Fqhc)OR2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97501)

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Reviews

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Frequently asked questions

What is the registry number for ROGUE COMMUNITY HEALTH?
The registry entry for ROGUE COMMUNITY HEALTH shows NPI 1073511721.
Is ROGUE COMMUNITY HEALTH currently accepting referrals based on NPI status?
Registry metadata lists ROGUE COMMUNITY HEALTH as active.
How should patients interpret ROGUE COMMUNITY HEALTH's specialty?
The extract shows Federally Qualified Health Center (FQHC) for ROGUE COMMUNITY HEALTH. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROGUE COMMUNITY HEALTH?
ROGUE COMMUNITY HEALTH is associated with Medford, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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