| La Clinica School-based Health Center At Phoenix Elementary School | |
|
215 N Rose St Phoenix OR 97535 | |
| (541) 535-1065 | |
| (541) 512-2082 |
| Full Name | La Clinica School-based Health Center At Phoenix Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 215 N Rose St, Phoenix, 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 Phoenix Elementary School 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School-based Health Center At Phoenix Elementary School 215 N Rose St Phoenix OR 97535 Ph: (541) 535-1065 |
| NPI Number | 1821333402 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821333402 | NPI | - | NPPES |
| 022868 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
La Clinica School-based Health Center At Armadillo Community Charter S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W First Street, Phoenix, OR 97535 Phone: 541-897-5011 Fax: 541-897-5163 | |
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 | |
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 |