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Organization

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC

Active
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Other names
Central Point 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
MS. BRENDA IRENE JOHNSON RN, MBA (CEO)
(541) 512-3151
Entity
Organization

Contact information

Practice address
4940 HAMRICK ROAD, CENTRAL POINT, OR 97502-3072
(541) 690-3600
(541) 664-3735
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
12/09/2010
Last updated
07/15/2019
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