Organization · Type 2 NPI

La Clinica del Valle Family Healthcare Center Inc.

Federally Qualified Health Center (FQHC) · Talent, OR

NPI number 1215540398 Active

Practice location

102 Christian Avenue
Talent, OR 97540

Call (541) 535-1552 Map

Fax (541) 512-2082

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Talent

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La Clinica del Valle Family Healthcare Center Inc.Federally Qualified Health Center (FQHC) Talent, OR NPI 1790398048

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NPI record

NPI: 1215540398
Entity type: Organization (Type 2)
Issued: Aug 28, 2020
Last updated: Aug 28, 2020
Status: Active
Subpart: Yes of La Clinica del Valle Family Healthcare Center Inc.

Other names

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La Clinica School-Based Health Center Talent Middle School · other name

Authorized official

Traci Fossen
Chief Quality Officer
(541) 512-3912

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215540398

La Clinica del Valle Family Healthcare Center Inc.'s National Provider Identifier is 1215540398, issued on Aug 28, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Talent, OR. The record was last updated on Aug 28, 2020.