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Waterfall Clinic, Incorporated

Federally Qualified Health Center (FQHC) in Coos Bay, OR · enumerated 2011 · authorized official Ava Mcferon, Ceo Asst..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508133299

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Waterfall Clinic, Incorporated
Parent organization Waterfall Clinic, Incorporated
Practice address 826 S 11th St, Coos Bay, OR, 97420
Fax (541) 756-6234
Enumeration date Nov 23, 2011
Last updated in NPPES Feb 26, 2018

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Ava Mcferon
Title Ceo Asst.

Other identifiers

Identifier Type State Issuer
500647633 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-02-26. Verify at npiregistry.cms.hhs.gov.
Where is Waterfall Clinic, Incorporated located?
The practice location on file with NPPES is in Coos Bay, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-26.