Organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Other names
La Clinica Student Health and Wellness Center at SOU
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Authorized official
TRACI FOSSEN RN, BSN (CHIEF QUALITY OFFICER)
(541) 512-3912
Entity
Organization
Contact information
Practice address
560 INDIANA ST, ASHLAND, OR 97520-0071
(541) 494-4875
(541) 494-1789
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
07/01/2024
Last updated
07/01/2024
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