Organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Other names
La Clinica Acute Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Authorized official
TARA LYNETTE JEANNOT (COO)
(541) 535-6239
Entity
Organization
Contact information
Practice address
638 MARKET ST, MEDFORD, OR 97504-6126
(541) 494-3840
(541) 494-1789
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
Enumeration date
12/22/2020
Last updated
05/31/2024
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