LA CLINICA SCHOOL-BASED HEALTH CENTER AT PHOENIX ELEMENTARY SCHOOL
NPI 1821333402
Clinic/Center - Federally Qualified Health Center (FQHC) in Phoenix, OR

Q: 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.

Active since December 07, 2012

215 N ROSE ST, PHOENIX, OR 97535(541) 535-1065(541) 512-2082 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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

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

LA CLINICA SCHOOL-BASED HEALTH CENTER AT PHOENIX ELEMENTARY SCHOOL (NPI 1821333402) is a healthcare organization registered as a federally qualified health center (fqhc) in Phoenix, Oregon and active in the NPI registry since December 2012. The organization lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1821333402

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Location Address215 N ROSE STPhoenix, OR 97535

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

Phone(541) 535-1065

Fax(541) 512-2082

Organization SubpartYes

Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239

Enumeration DateDecember 7, 2012

Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration

✔ NPI 1821333402 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

215 N ROSE ST, Phoenix, OR 97535

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Other Names 1

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

Other Identifiers 1

Medicaid022868OR

Other Providers at the Same Location NPPES 3

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

SARA LOPEZ

Counselor

215 N ROSE ST
PHOENIX, OR 97535

Jackson County (541) 535-1065

JULIE R WILEY RN

Registered Nurse

215 N ROSE ST
PHOENIX, OR 97535

Jackson County (541) 535-1065

STACEY M GREGG

Registered Nurse

215 N ROSE ST
PHOENIX, OR 97535

Jackson County (541) 535-6239

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 1821333402. It was assigned to this organization in the NPPES registry on December 7, 2012. The provider is doing business as La Clinica School-Based Health Center At Phoenix 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 215 N Rose St, Phoenix, OR 97535. The listed phone number is (541) 535-1065.

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.