LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. (NPI# 1851816920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851816920 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. |
| Other Organization Name | LA CLINICA SCHOOL- BASED HEALTH CENTER AT HANBY MIDDLE SCHOOL |
| Practice Address |
806 6th Ave N Gold Hill OR 97525 |
| 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 | 2017-08-09 |
| 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. |
| 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 at Hanby Middle School | Doing Business As Name - Organization |
| School Based Health Center - Hanby Middle School | Other Name - Individual/Organization |
| 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 |
| 1730663790 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 1500 2nd Ave, Gold Hill, OR 97525-9728 | 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 |
| 1669848792 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 730 Biddle Rd, Medford, OR 97504 | 2015-08-12 |
| Street Address |
806 6TH AVE N |
| City | GOLD HILL |
| State | OR |
| Zip Code | 97525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194278770 | Samantha Turpin | Counselor | 806 6th Ave N, Gold Hill, OR 97525-9762 | 2016-07-29 |
| 1649882218 | Jade Dewey | Counselor | 806 6th Ave N, Gold Hill, OR 97525-9762 | 2020-08-17 |
| 1144853474 | Kasey Wedding Hayen | Counselor | 806 6th Ave N, Gold Hill, OR 97525-9762 | 2020-02-14 |
| 1891212148 | Carol Schoger | Registered Nurse | 806 6th Ave N, Gold Hill, OR 97525-9762 | 2017-08-28 |
| 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 |
| 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 |
| 1225583446 | Lauren Hornbeck | Counselor | 1962 Mcdonough Rd, Gold Hill, OR 97525-9673 | 2016-08-17 |
| Find all providers in zip 97525 | ||||
| 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 |
|---|---|---|---|---|
| 1730663790 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 1500 2nd Ave, Gold Hill, OR 97525-9728 | 2018-09-17 |
| 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 | ||||
Please comment or provide details below to improve the information on LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC..
| 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.