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LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. NPI 1215328232


NPI Information

NPI: 1215328232
Provider Name: LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Doing Business As: LA CLINICA SCHOOL BASED HEALTH CENTER AT CENTRAL POINT ELEMENTARY SCHO

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D2154189

Address:
450 S 4TH ST
CENTRAL POINT, OR
ZIP 97502
Phone: (541) 494-6611
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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 1215328232. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica School Based Health Center At Central Point Elementary Scho.

The provider's business location address is:

450 S 4TH ST
CENTRAL POINT, OR
ZIP 97502
Phone: (541) 494-6611
Fax: (541) 494-6613

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 CLIA number assigned to this NPI record is 38D2154189 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2015 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)OREGONYes

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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