| La Clinica School-based Health Center At Jewett Elementary School | |
|
1001 Manzanita St Central Point OR 97502 | |
| (541) 494-6611 | |
| (541) 494-6613 |
| Full Name | La Clinica School-based Health Center At Jewett Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1001 Manzanita St, Central Point, 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 Jewett Elementary School 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School-based Health Center At Jewett Elementary School 1001 Manzanita St Central Point OR 97502 Ph: (541) 494-6611 |
| NPI Number | 1760727135 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760727135 | NPI | - | NPPES |
| 022868 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
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