| La Clinica School- Based Health Center At Jackson School | |
|
713 Summit Avenue Medford OR 97501 | |
| (541) 842-3771 | |
| (541) 842-3084 |
| Full Name | La Clinica School- Based Health Center At Jackson School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 713 Summit Avenue, Medford, Oregon |
| Authorized Official Name and Position | Tara Lynette Jeannot (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5415356239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica School- Based Health Center At Jackson School 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School- Based Health Center At Jackson School 713 Summit Avenue Medford OR 97501 Ph: (541) 842-3771 |
| NPI Number | 1497090971 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497090971 | NPI | - | NPPES |
| 022868 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
Ups Medford (cdrc - Expansion) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 503-494-9000 | |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |
Pmg Medford Physiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Pmg South Heart Rhythm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 Phone: 541-732-7850 Fax: 541-732-7851 | |
Complete Integrative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-773-5772 Fax: 541-773-1113 | |
La Clinica Acute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 Market St, Medford, OR 97504 Phone: 541-494-3840 Fax: 541-494-1789 |