LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC. (NPI# 1770196016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770196016 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC. |
| Practice Address |
106 N. Rose Street Phoenix OR 97535 |
| Mailing Address |
931 Chevy Way Medford OR 97504-4127 |
| Practice Telephone | 5415353287 |
| Practice Fax Number | 5415122082 |
| Mailing Telephone | 5415356239 |
| Mailing Fax Number | 5418422212 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | TRACI FOSSEN (CHIEF QUALITY OFFICER) |
| Authorized Official Telephone | 5415123912 |
| Is Organization Subpart | Y |
| Parent Organization Name | LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC. |
| 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 Name | Type Code |
|---|---|
| Armadillo Technical Institute | Other Name - Individual/Organization |
| 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 |
| 1184237489 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 1011 La Loma Dr, Medford, OR 97504-8613 | 2020-08-26 |
| 1245860048 | La Clinica Del Valle Family Healthcare Center Inc. | Internal Medicine | 910 S Central Ave, Medford, OR 97501-7822 | 2020-01-21 |
| 1942793583 | La Clinica Del Valle Family Healthcare Center Inc. | Internal Medicine | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2018-06-08 |
| 1134302250 | La Clinica Del Valle Family Healthcare Center Inc. | Counselor | 1307 W Main St, Medford, OR 97501-2936 | 2007-12-12 |
| Street Address |
106 N. ROSE STREET |
| City | PHOENIX |
| State | OR |
| Zip Code | 97535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740611458 | William Allen Haden Jr. | Social Worker | 106 N. Rose Street, Phoenix, OR 97535 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318577 | Brent M Gordon | Counselor | 5505 S Pacific Hwy, Phoenix, OR 97535 | 2016-03-16 |
| 1740649821 | Elizabeth Van Driel | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2016-02-17 |
| 1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
| 1992961239 | Stephen J Brummett | Counselor | 482 Elm St, Phoenix, OR 97535 | 2008-08-06 |
| 1568680577 | Christine Carolyn Robinson | Chiropractor | 721 N. Main St., Space A, Phoenix, OR 97535 | 2007-04-23 |
| 1982729539 | Daniel Jansen | Counselor | 215 N Rose St, Phoenix, OR 97535 | 2007-03-20 |
| 1760972160 | Jennifer L Burke | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2018-05-11 |
| 1124552872 | Desiree Thompson | Counselor | 149 N Main St, Phoenix, OR 97535 | 2017-04-19 |
| 1821333402 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 215 N Rose St, Phoenix, OR 97535 | 2012-12-07 |
| 1376716571 | Phoenix Counseling Center, Inc. | Community/Behavioral Health | 149 S Main St, Phoenix, OR 97535 | 2008-04-08 |
| Find all providers in zip 97535 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1437607389 | Neighborhood Outreach Access To Health | Clinic/Center | 20440 N 27th Ave Ste 450, Phoenix, AZ 85027-3240 | 2016-09-20 |
| 1972907129 | Neighborhood Outreach Access To Health | Clinic/Center | 16251 N Cave Creek Rd, Phoenix, AZ 85032-2976 | 2014-10-17 |
| 1982830410 | Native Health | Clinic/Center | 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 | 2009-06-10 |
| 1386741668 | Mountain Park Health Center | Clinic/Center | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2006-09-20 |
| 1164055596 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2020-02-13 |
| 1952948804 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2019-12-10 |
| Find all providers in PHOENIX | ||||
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| 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.