Organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Active
Other names
Women's Health Center La Clinica
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA IRENE JOHNSON RN, MBA (CEO)
(541) 512-3151
Entity
Organization
Contact information
Practice address
221 W STEWART AVE, 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
Enumeration date
03/10/2010
Last updated
05/24/2019
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