Organization · Type 2 NPI
La Clinica del Valle Family Health Care Center Inc.
Federally Qualified Health Center (FQHC) · Medford, OR
NPI number
1497090971
Active
Practice location
713 Summit Avenue
Medford, OR 97501
Fax (541) 842-3084
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...
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About NPI 1497090971
La Clinica del Valle Family Health Care Center Inc.'s National Provider Identifier is 1497090971, issued on Dec 10, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Medford, OR. The record was last updated on Jul 15, 2019.