| La Clinica School-based Health Center At Armadillo Community Charter S | |
|
302 W First Street Phoenix OR 97535 | |
| (541) 897-5011 | |
| (541) 897-5163 |
| Full Name | La Clinica School-based Health Center At Armadillo Community Charter S |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 302 W First Street, Phoenix, 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 School-based Health Center At Armadillo Community Charter S 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School-based Health Center At Armadillo Community Charter S 302 W First Street Phoenix OR 97535 Ph: (541) 897-5011 |
| NPI Number | 1770196016 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770196016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
La Clinica Del Valle Family Health Care Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 N Rose St, Phoenix, OR 97535 Phone: 541-535-6239 Fax: 541-494-1789 | |
La Clinica School-based Health Center At Phoenix Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Rose St, Phoenix, OR 97535 Phone: 541-535-1065 Fax: 541-512-2082 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Phoenix Rd, Suite A, Phoenix, OR 97535 Phone: 541-732-5760 Fax: 541-732-3406 |