NPI:
1730663790
Provider Name:
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Doing Business As: LA CLINICA SCHOOL- BASED HEALTH CENTER AT PATRICK ELEMENTARY SCHOOL
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1500 2ND AVE
GOLD HILL, OR
ZIP 97525
Phone:
(541) 494-6818
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LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. is a federally qualified health center (fqhc) clinic center in Gold Hill, OR. LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. NPI is 1730663790. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica School- Based Health Center At Patrick Elementary School.
The provider's business location address is:
1500 2ND AVE
GOLD HILL, OR
ZIP 97525-728
Phone: (541) 494-6818
Fax: (541) 494-6816
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 9/17/2018 and was last updated on 7/15/2019.