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

NPI Status: Active since December 08, 2010

Contact Information

1307 W MAIN ST
MEDFORD, OR
ZIP 97501
Phone: (541) 535-6239
Fax: (541) 535-4377

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 38D2154056
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 09-04-2026

About WEST MEDFORD HEALTH CENTER - LA CLINICA

This page provides the complete NPI Profile along with additional information for West Medford Health Center - La Clinica, a primary care provider established in Medford, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1831492156 assigned on December 2010. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as West Medford Health Center - La Clinica. The authorized official of this NPI record is Ms. Brenda Irene Johnson Rn, Mba (Ceo)

NPI
1831492156
Provider Legal Name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Other Organization Name
WEST MEDFORD HEALTH CENTER - LA CLINICA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1307 W MAIN ST MEDFORD, OR 97501
Location Phone
(541) 535-6239
Location Fax
(541) 535-4377
Mailing Address
931 CHEVY WAY MEDFORD, OR 97504
Mailing Phone
(541) 535-6239
Mailing Fax
(541) 535-4377
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-08-2010
Last Update Date
07-15-2019
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A primary care provider (PCP) like West Medford Health Center - La Clinica sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. BRENDA IRENE JOHNSON RN, MBA

Authorized Official Title
CEO
Authorized Official Phone
(541) 512-3151

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
022868MEDICAID (05)OR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2154056
Facility Type
Federally Qualified Health Center
Certificate Effective Date
September 05, 2024
Certificate Expiration Date
September 04, 2026
Laboratory Director
CHRISTOPHER ALFTINE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to West Medford Health Center - La Clinica in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831492156, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 8 + 9 + 4 + 1 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1831492156.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine
1307 W MAIN ST
MEDFORD, OR 97501
Registered Nurse
1307 W MAIN ST
MEDFORD, OR 97501
Nurse Practitioner (Pediatrics)
1307 W MAIN ST
MEDFORD, OR 97501
Nurse Practitioner (Family)
1307 W MAIN ST
MEDFORD, OR 97501
Family Medicine
1307 W MAIN ST
MEDFORD, OR 97501
Registered Nurse
1307 W MAIN ST
MEDFORD, OR 97501
Physician Assistant (Medical)
1307 W MAIN ST
MEDFORD, OR 97501
Registered Nurse
1307 W MAIN ST
MEDFORD, OR 97501
Social Worker
1307 W MAIN ST
MEDFORD, OR 97501
Registered Nurse (Psychiatric/Mental Health)
1307 W MAIN ST
MEDFORD, OR 97501
Physician Assistant
1307 W MAIN ST
MEDFORD, OR 97501
Registered Nurse
1307 W MAIN ST
MEDFORD, OR 97501
Community Health Worker
1307 W MAIN ST
MEDFORD, OR 97501
Nurse Practitioner
1307 W MAIN ST
MEDFORD, OR 97501
Community Health Worker
1307 W MAIN ST
MEDFORD, OR 97501
Pediatrics
1307 W MAIN ST
MEDFORD, OR 97501
Physician Assistant (Medical)
1307 W MAIN ST
MEDFORD, OR 97501
Licensed Practical Nurse
1307 W MAIN ST
MEDFORD, OR 97501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831492156, enumerated as an "organization" on December 08, 2010.

The provider is located at 1307 W MAIN ST MEDFORD, OR 97501 and the phone number is (541) 535-6239.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.