Organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Other names
La Clinica School-Based Health Center at Armadillo Community Charter S
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
302 W FIRST STREET, PHOENIX, OR 97535
(541) 897-5011
(541) 897-5163
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
03/01/2024
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