LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC. (NPI# 1215540398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215540398 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC. |
| Other Organization Name | LA CLINICA SCHOOL-BASED HEALTH CENTER TALENT MIDDLE SCHOOL |
| Practice Address |
102 Christian Avenue Talent OR 97540 |
| Mailing Address |
931 Chevy Way Medford OR 97504-4127 |
| Practice Telephone | 5415351552 |
| Practice Fax Number | 5415122082 |
| Mailing Telephone | 5415356239 |
| Mailing Fax Number | 5418422212 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| 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 |
|---|---|
| La Clinica School-Based Health Center Talent Middle School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 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 |
102 CHRISTIAN AVENUE |
| City | TALENT |
| State | OR |
| Zip Code | 97540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1578059572 | Kayla Jade Kawecki | Massage Therapist | 258 A Street, Suite 21, Talent, OR 97540 | 2018-07-03 |
| 1376045120 | Mackenzie Grace Whitley | Massage Therapist | 105 Talent Ave., Talent, OR 97540 | 2018-03-07 |
| 1437596178 | Lisa Ann Robino | Counselor | 102 Christian Ave, Talent, OR 97540 | 2013-06-03 |
| 1669745972 | Jessica S Ruediger | Midwife | 211 1/2 N. First St., Talent, OR 97540 | 2012-02-16 |
| 1831493725 | Clista N. Prelle-tworek | Counselor | 523 Wagner Creek Rd, Talent, OR 97540 | 2011-01-06 |
| 1013104306 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Suncrest Road, Talent, OR 97540 | 2007-10-01 |
| 1548456270 | Terise Jane Manich | Massage Therapist | 251 St Ives Dr, Talent, OR 97540 | 2007-09-17 |
| 1538376611 | Tom K. Clunie | Chiropractor | 58 Talent Avenue, Talent, OR 97540 | 2007-05-17 |
| 1720122427 | Talent Health Rx Inc | Pharmacy | 103 Talent Ave, 223, Talent, OR 97540 | 2007-02-16 |
| Find all providers in zip 97540 | ||||
| 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 |
|---|---|---|---|---|
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1912450461 | Rogue Community Health | Clinic/Center | 2830 Maple Ct, White City, OR 97503-1357 | 2016-08-02 |
| 1740733286 | Rogue Community Health | Clinic/Center | 550 Wilson Way, White City, OR 97503-1351 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
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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.