Organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Other names
Women's Health Center La Clinica
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Authorized official
SOCHIL M CASTILLO (COMPLIANCE MANAGER)
(541) 512-3127
Entity
Organization
Contact information
Practice address
221 W STEWART AVE STE 101, MEDFORD, OR 97501-3609
(541) 690-3500
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
Enumeration date
07/30/2009
Last updated
06/03/2022
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