LA CLINICA SCHOOL-BASED HEALTH CENTER AT ARMADILLO COMMUNITY CHARTER S - NPI 1770196016

Q: What is La Clinica Del Valle Family Healthcare 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.

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About La Clinica School-based Health Center At Armadillo Community Charter S NPPES

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

LA CLINICA SCHOOL-BASED HEALTH CENTER AT ARMADILLO COMMUNITY CHARTER S (NPI 1770196016) is a healthcare organization registered as a federally qualified health center (fqhc) in Phoenix, Oregon and active in the NPI registry since August 2020. The organization lists Traci Fossen, Chief Quality Officer, as its authorized official.

NPPES Registry Identity

NPI1770196016

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.

Location Address302 W FIRST STREETPhoenix, OR 97535

Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212

Phone(541) 897-5011

Fax(541) 897-5163

Organization SubpartYes

Authorized OfficialTraci FossenChief Quality Officer · (541) 512-3912

Enumeration DateAugust 26, 2020

Last NPPES UpdateMarch 1, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1770196016 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

302 W FIRST STREET, Phoenix, OR 97535

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Other Names 1

Other NameLa Clinica School-based Health Center At Armadillo Community Charter S

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 Healthcare Center Inc.'s NPI number?

The NPI number for La Clinica Del Valle Family Healthcare Center Inc. is 1770196016. It was assigned to this organization in the NPPES registry on August 26, 2020. The provider is also known as La Clinica School-Based Health Center At Armadillo Community Charter S.

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

La Clinica Del Valle Family Healthcare Center Inc. is located at 302 W First Street, Phoenix, OR 97535. The listed phone number is (541) 897-5011.

What is La Clinica Del Valle Family Healthcare 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 Healthcare Center Inc. was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.