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- Talent Elementary School
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Authorized official
TRACI FOSSEN (COMPLIANCE MANAGER)
(541) 512-3912
Entity
Organization
Contact information
Practice address
307 WAGNER CREEK ROAD, TALENT, OR 97540
(541) 535-1531
(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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