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LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC NPI 1114651171


NPI Information

NPI: 1114651171
Provider Name: LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D2159047

Address:
600 S 2ND ST
CENTRAL POINT, OR
ZIP 97502
Phone: (541) 535-6239
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LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC is a federally qualified health center (fqhc) clinic center in Central Point, OR. LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC NPI is 1114651171. The provider is registered as an organization entity type.

The provider's business location address is:

600 S 2ND ST
CENTRAL POINT, OR
ZIP 97502-704
Phone: (541) 535-6239

The provider's authorized official is Traci Fossen .
The authorized official title is Chief Quality Officer and has the following contact phone number (541) 512-3912.

The CLIA number assigned to this NPI record is 38D2159047 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2022 and was last updated on 7/14/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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