LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. NPI 1669848792

NPI Information

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. is a federally qualified health center (fqhc) clinic center in Medford, OR. LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. NPI is 1669848792. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica Wellness Center.

The provider's business location address is:

730 BIDDLE RD
MEDFORD, OR
ZIP 97504
Phone: (541) 494-3800
Fax: (541) 494-0895

The provider's authorized official is Tara Lynette Jeannot .
The authorized official title is Chief Operations Officer and has the following contact phone number (541) 535-6239.

The enumeration date for this NPI number is 8/12/2015 and was last updated on 7/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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