Organization · Type 2 NPI

La Clinica del Valle Family Health Care Center Inc.

Federally Qualified Health Center (FQHC) · Central Point, OR

NPI number 1619368636 Active

Practice location

200 W Pine St
Central Point, OR 97502

Call (541) 494-6700 Map

Fax (541) 665-5881

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...

5 other providers at this address

Other federally qualified health center (fqhc) providers in Central Point

See all in Central Point →

NPI record

NPI: 1619368636
Entity type: Organization (Type 2)
Issued: Feb 12, 2015
Last updated: Jul 15, 2019
Status: Active
Subpart: Yes of La Clinica del Valle Family Health Care Center Inc.

Other names

<unavail>
La Clinica School Based Health Center at Mae Richardson Elementary SCH · doing business as

Authorized official

Tara Lynette Jeannot
Chief Operations Officer
(541) 535-6239

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.

Is this your record? How to update it.

About NPI 1619368636

La Clinica del Valle Family Health Care Center Inc.'s National Provider Identifier is 1619368636, issued on Feb 12, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Central Point, OR. The record was last updated on Jul 15, 2019.