Organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Other names
School Based Health Center- Orchard Hill Elementary School
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Authorized official
TRACI FOSSEN (CHIEF QUALITY OFFICER)
(541) 512-3912
Entity
Organization
Contact information
Practice address
1011 LA LOMA DR, MEDFORD, OR 97504-8613
(541) 779-1766
(541) 512-2082
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
(541) 842-2212
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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