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LA CLINICA SCHOOL-BASED HEALTH CENTER AT CRATER HIGH SCHOOL
NPI 1205198470
Clinic/Center - Federally Qualified Health Center (FQHC) in Central Point, OR

Active since June 13, 2012
655 N 3RD ST, CENTRAL POINT, OR 97502(541) 494-6323(541) 494-6381 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

About La Clinica School-based Health Center At Crater High School NPPES

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

LA CLINICA SCHOOL-BASED HEALTH CENTER AT CRATER HIGH SCHOOL (NPI 1205198470) is a healthcare organization registered as a federally qualified health center (fqhc) in Central Point, Oregon and active in the NPI registry since June 2012. The organization lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1205198470
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address655 N 3RD STCentral Point, OR 97502
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212
Phone(541) 494-6323
Fax(541) 494-6381
Organization SubpartYes
Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239
Enumeration DateJune 13, 2012
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1205198470 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
655 N 3RD ST, Central Point, OR 97502
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Other Names 1

Doing Business AsLa Clinica School-based Health Center At Crater High School

Other Identifiers 1

Medicaid022868OR

Other Providers at the Same Location NPPES 10

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

MRS. BRITTANY JACQUELYN ELMORE ATC
Specialist/Technologist (Athletic Trainer)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 630-0705
KATHERIN NANI KAI FIORI MCKINNON
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239
MARC CHRISTOPHER HARNEN
Counselor (Addiction (Substance Use Disorder))
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239
JOY LOTUS
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6323
VICTORIA BENCOMO
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6323
SAMANTHA DREWES
Specialist/Technologist (Athletic Trainer)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6300
MRS. SUMMER DAWN KNITTER MSW
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239
DIANA MARCELA CAZARES M.S, N.C.C
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6306

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 1205198470. It was assigned to this organization in the NPPES registry on June 13, 2012. The provider is doing business as La Clinica School-Based Health Center At Crater High 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 655 N 3rd St, Central Point, OR 97502. The listed phone number is (541) 494-6323.

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.

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.