LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.


Address: 1500 2nd Ave, Gold Hill, OR 97525-9728
Phone: 5414946818

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. (NPI# 1730663790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730663790
Entity Type Organization
Organization Name LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Other Organization Name LA CLINICA SCHOOL- BASED HEALTH CENTER AT PATRICK ELEMENTARY SCHOOL
Practice Address 1500 2nd Ave
Gold Hill
OR 97525-9728
Mailing Address 931 Chevy Way
Medford
OR 97504-4127
Practice Telephone 5414946818
Practice Fax Number 5414946816
Mailing Telephone 5415356239
Mailing Fax Number 5418422212
Enumeration Date 2018-09-17
Last Update Date 2019-07-15
Authorized Official Name TARA LYNETTE JEANNOT (CHIEF OPERATIONS OFFICER)
Authorized Official Telephone 5415356239
Is Organization Subpart Y
Parent Organization Name LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 022868 05

Other Provider/Organization Names

Other Name Type Code
La Clinica School- Based Health Center at Patrick Elementary School Doing Business As Name - Organization
School Base Health Center- Patrick Elementary Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1619368636 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 200 W Pine St, Central Point, OR 97502 2015-02-12
1497090971 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 713 Summit Avenue, Medford, OR 97501 2012-12-10
1205198470 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 655 N 3rd St, Central Point, OR 97502 2012-06-13
1003469354 La Clinica Del Valle Family Health Care Center Inc. Pharmacy 730 Biddle Rd, Medford, OR 97504-6116 2019-07-16
1023660099 La Clinica Del Valle Family Health Care Center Inc. Pharmacy 3617 S Pacific Hwy, Medford, OR 97501-8957 2019-07-10
1821572884 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 14235 Table Rock Rd, Central Point, OR 97502-9377 2018-09-17
1700379419 La Clinica Del Valle Family Health Care Center Inc. Internal Medicine 1307 W Main St, Medford, OR 97501-2936 2018-06-08
1851816920 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 806 6th Ave N, Gold Hill, OR 97525 2017-08-09
1669848792 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 730 Biddle Rd, Medford, OR 97504 2015-08-12

Office Location

Street Address 1500 2ND AVE
City GOLD HILL
State OR
Zip Code 97525-9728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386295475 Ana L Foster Registered Nurse 1500 2nd Ave, Gold Hill, OR 97525-9728 2019-09-20
1871078485 Leah J Saturen Social Worker 1500 2nd Ave, Gold Hill, OR 97525-9728 2018-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306093265 Gilbert Alan Hice Podiatrist 953 Foots Creek Road, Gold Hill, OR 97525 2008-08-22
1962411918 Glenn Alexander Frum Pharmacist 808 Second Ave., Gold Hill, OR 97525 2006-08-07
1851816920 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 806 6th Ave N, Gold Hill, OR 97525 2017-08-09
1336158385 Frum Health Care Corporation Pharmacy 808 Second Ave., Gold Hill, OR 97525 2006-08-07
1306974035 Thomas Glenn Brooks Dentist 492 Second Ave, Gold Hill, OR 97525-0198 2007-03-02
1598023046 Leslie Elaine Lundberg Acupuncturist 325 2nd Ave, Gold Hill, OR 97525-0772 2012-05-02
1760017263 Gold Hill Family Dentistry, LLC Dentist 492 2nd Ave, Gold Hill, OR 97525-5536 2020-03-05
1407878374 Rogue River Rural Fire Protection District Ambulance 5474 N River Rd, Gold Hill, OR 97525-5734 2006-07-23
1558668889 Rogue River Rural Fire Protection District Ambulance 5474 N River Rd, Gold Hill, OR 97525-5734 2011-02-23
1952472318 Sandra Kay Villa Registered Nurse 3182 Foots Creek R Fork Rd, Gold Hill, OR 97525-6730 2006-11-09
Find all providers in zip 97525

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851816920 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 806 6th Ave N, Gold Hill, OR 97525 2017-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215540398 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 102 Christian Avenue, Talent, OR 97540 2020-08-28
1790398048 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 307 Wagner Creek Road, Talent, OR 97540 2020-08-26
1922656289 Clackamas County Clinic/Center 39831 Highway 26, Sandy, OR 97055-6558 2019-08-29
1063067312 Virginia Garcia Memorial Health Center Clinic/Center 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 2019-08-05
1417411505 Klamath Health Partnership, Inc Clinic/Center 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 2019-01-23
1679053946 Siskiyou Community Health Center Inc Clinic/Center 830 Ne 9th St, Grants Pass, OR 97526-1626 2018-08-16
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1598284242 Winding Waters Medical Clinic Clinic/Center 401b N Main St, Joseph, OR 97846-5030 2017-09-13
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1477005619 Outside In Clinic/Center 1226 Sw 12th Ave, Portland, OR 97205-2029 2016-11-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City GOLD HILL
Zip Code 97525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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