Provider Type Icon

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. NPI 1679896278


NPI Information

NPI: 1679896278
Provider Name: LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Doing Business As: WOMEN'S HEALTH CENTER LA CLINICA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D2154058

Address:
221 W STEWART AVE
MEDFORD, OR
ZIP 97501
Phone: (541) 690-3500
Get Directions

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 1679896278. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Health Center La Clinica.

The provider's business location address is:

221 W STEWART AVE
MEDFORD, OR
ZIP 97501-609
Phone: (541) 690-3500

The provider's authorized official is Brenda Irene Johnson .
The authorized official title is Ceo and has the following contact phone number (541) 512-3151.

The CLIA number assigned to this NPI record is 38D2154058 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/10/2010 and was last updated on 5/24/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.