Waterfall Clinic Incorporated
NPI 1619915113 · Federally Qualified Health Center (FQHC) · North Bend, OR
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterfall Clinic Incorporated is a Federally Qualified Health Center (FQHC) organization in North Bend, OR (NPI 1619915113).
Provider details
- NPI number
- 1619915113
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Trenner, Executive Director/Ceo(541) 756-6232
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Waterfall Community Health Center
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2017-06-30
Frequently asked questions
- What is Waterfall Clinic Incorporated's NPI number?
- Waterfall Clinic Incorporated's National Provider Identifier (NPI) is 1619915113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterfall Clinic Incorporated?
- Waterfall Clinic Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Waterfall Clinic Incorporated located?
- Waterfall Clinic Incorporated's practice location on file with NPPES is 1890 Waite St, North Bend, OR 97459-1229.
- What is Waterfall Clinic Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Waterfall Clinic Incorporated is (541) 756-6232.
- Does Waterfall Clinic Incorporated accept Medicare?
- Waterfall Clinic Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterfall Clinic Incorporated?
- The authorized official listed on Waterfall Clinic Incorporated's NPPES record is Andrea Trenner, Executive Director/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterfall Clinic Incorporated's NPI active?
- Yes — Waterfall Clinic Incorporated's NPI (1619915113) is active in the NPPES registry as of the last update on 2017-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.