WEST MEDFORD HEALTH CENTER - LA CLINICA
NPI 1831492156
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since December 08, 2010CLIA 38D2154056 · Microscopy

1307 W MAIN ST, MEDFORD, OR 97501(541) 535-6239(541) 535-4377 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About West Medford Health Center - La Clinica NPPES

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

WEST MEDFORD HEALTH CENTER - LA CLINICA (NPI 1831492156) is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since December 2010. The organization holds a CLIA Microscopy certificate valid through September 4, 2026 and lists Brenda Irene Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831492156

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC

Location Address1307 W MAIN STMedford, OR 97501-2936

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

Phone(541) 535-6239

Fax(541) 535-4377

Organization SubpartYesParent: La Clinica Del Valle Family Health Care Center Inc.

Authorized OfficialBrenda Irene JohnsonCeo · (541) 512-3151

Enumeration DateDecember 8, 2010

Last NPPES UpdateJuly 15, 2019

✔ NPI 1831492156 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

1307 W MAIN ST, Medford, OR 97501

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Other Names 1

Doing Business AsWest Medford Health Center - La Clinica

Other Identifiers 1

Medicaid022868OR

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 38D2154056

West Medford Health Center-La Clinica · Medford, OR

Active · expires Sep 4, 2026

CLIA Number38D2154056

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 5, 2024

Certificate Expiration DateSeptember 4, 2026

Laboratory DirectorChristopher Alftine

Laboratory Phone(541) 618-1328

Laboratory LocationWest Medford Health Center-La Clinica1307 W Main St, Medford, OR 97501

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

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

MR. ROBERT NORMAN BLANCHE M.D.

Internal Medicine