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Organization

LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.

Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Other names
La Clinica School-Based Health Center at Ashland High School
Organization subpart
Yes

Provider details

NPI number
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Authorized official
TRACI FOSSEN (CHIEF QUALITY OFFICER)
(541) 512-3912
Entity
Organization

Contact information

Practice address
201 S MOUNTAIN AVE, ASHLAND, OR 97520-2165
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
(541) 494-1789

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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