NPI:
1760727135
Provider Name:
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Doing Business As: LA CLINICA SCHOOL-BASED HEALTH CENTER AT JEWETT ELEMENTARY SCHOOL
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1001 MANZANITA 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 1760727135. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica School-based Health Center At Jewett Elementary School.
The provider's business location address is:
1001 MANZANITA 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 enumeration date for this NPI number is 12/11/2012 and was last updated on 7/15/2019.