WINDING WATERS MEDICAL CLINIC – NPI #1881440899
Clinic/Center

WINDING WATERS MEDICAL CLINIC is an AHC clinic located in ENTERPRISE, OR. NPPES has assigned the NPI number 1881440899 to WINDING WATERS MEDICAL CLINIC on April 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WINDING WATERS MEDICAL CLINIC below.

NPI Profile for
WINDING WATERS MEDICAL CLINIC

NPI Number
1881440899
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WINDING WATERS MEDICAL CLINIC
Primary location
107 SW 1ST ST
ENTERPRISE, OR 97828-1285
Phone: (541) 426-4502 Fax: (541) 426-6403
Mailing address
603 MEDICAL PKWY
ENTERPRISE, OR 97828-5124
Phone: (541) 426-4502 Fax:
Organization Subpart
Yes - WINDING WATERS MEDICAL CLINIC is subpart of another organization.
Authorized Official
KELI DENNIS
COO
Phone: (541) 426-4502
Updated
Certification Date
Apr 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.