| La Clinica Del Valle Family Health Care Center Inc | |
|
600 S 2nd St Central Point OR 97502-2704 | |
| (541) 535-6239 | |
| Not Available |
| Full Name | La Clinica Del Valle Family Health Care Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 S 2nd St, Central Point, Oregon |
| Authorized Official Name and Position | Traci Fossen (CHIEF QUALITY OFFICER) |
| Authorized Official Contact | 5415123912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Del Valle Family Health Care Center Inc 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica Del Valle Family Health Care Center Inc 600 S 2nd St Central Point OR 97502-2704 Ph: (541) 535-6239 |
| NPI Number | 1114651171 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114651171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St, Suite 200, Central Point, OR 97502 Phone: 541-732-8000 Fax: 541-732-3404 | |