| Central Point Health Center- La Clinica | |
|
4940 Hamrick Road Central Point OR 97502-3072 | |
| (541) 690-3600 | |
| (541) 664-3735 |
| Full Name | Central Point Health Center- La Clinica |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4940 Hamrick Road, Central Point, Oregon |
| Authorized Official Name and Position | Brenda Irene Johnson (CEO) |
| Authorized Official Contact | 5415123151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Point Health Center- La Clinica 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | Central Point Health Center- La Clinica 4940 Hamrick Road Central Point OR 97502-3072 Ph: (541) 690-3600 |
| NPI Number | 1942503248 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942503248 | NPI | - | NPPES |
| 022868 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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