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LA CLINICA SCHOOL-BASED HEALTH CENTER AT WASHINGTON ELEMENTARY SCHOOL
NPI 1124363593
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Active since December 11, 2012CLIA 38D2193192 · Waiver
610 S PEACH ST, MEDFORD, OR 97501(541) 842-3855(541) 842-3521 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About La Clinica School-based Health Center At Washington Elementary School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA SCHOOL-BASED HEALTH CENTER AT WASHINGTON ELEMENTARY SCHOOL (NPI 1124363593) is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1124363593
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address610 S PEACH STMedford, OR 97501
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212
Phone(541) 842-3855
Fax(541) 842-3521
Organization SubpartYes
Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239
Enumeration DateDecember 11, 2012
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1124363593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
610 S PEACH ST, Medford, OR 97501
Open in Google Maps ↗

Other Names 1

Doing Business AsLa Clinica School-based Health Center At Washington Elementary School

Other Identifiers 1

Medicaid022868OR

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2193192

La Clinica School Based Health Center At Talent Middle School · Talent, OR
Active · expires Sep 16, 2026
CLIA Number38D2193192
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorJamie Osborn
Laboratory Phone(541) 535-6239
Laboratory LocationLa Clinica School Based Health Center At Talent Middle School102 Christian Avenue, Talent, OR 97540
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2264912

La Clinica School-Based Health Center At Rogue Primary School · Central Point, OR
Expired · Jul 19, 2026
CLIA Number38D2264912
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorJamie Osborn
Laboratory Phone(541) 535-6239
Laboratory LocationLa Clinica School-Based Health Center At Rogue Primary School600 S 2nd Street, Central Point, OR 97502
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2264913

La Clinica School-Based Health Center Phoenix High School · Phoenix, OR
Expired · Jul 19, 2026
CLIA Number38D2264913
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorJamie Osborn
Laboratory Phone(541) 535-6239
Laboratory LocationLa Clinica School-Based Health Center Phoenix High School745 N Rose St, Phoenix, OR 97535
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAQUAYA HENRY
Counselor
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 535-6239
LORI LEE SCHEAR RN
Registered Nurse
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 842-3855
JOAN E MAJESKI
Registered Nurse
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 842-3855
HELENA ANNE ELAM LPC
Counselor (Mental Health)
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 842-3855
JULIE CUMMINGS
Registered Nurse
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 842-3855
MADELINE DOROTHY CLARK
Registered Nurse
610 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 842-3855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica Del Valle Family Health Care Center Inc.'s NPI number?

The NPI number for La Clinica Del Valle Family Health Care Center Inc. is 1124363593. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider is doing business as La Clinica School-Based Health Center At Washington Elementary School.

Where is La Clinica Del Valle Family Health Care Center Inc. located?

La Clinica Del Valle Family Health Care Center Inc. is located at 610 S Peach St, Medford, OR 97501. The listed phone number is (541) 842-3855.

What is La Clinica Del Valle Family Health Care Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does La Clinica Del Valle Family Health Care Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2193192) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Clinica Del Valle Family Health Care Center Inc. was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.