PHOENIX HEALTH CENTER- LA CLINICA
NPI 1851327571
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Active since June 24, 2006CLIA 38D0628059 · Microscopy
3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239(541) 512-1026 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Phoenix Health Center- La Clinica NPPES

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

PHOENIX HEALTH CENTER- LA CLINICA (NPI 1851327571) is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through December 3, 2027 and lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1851327571
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address3617 S PACIFIC HWYMedford, OR 97501
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212
Fax(541) 512-1026
Organization SubpartYes
Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239
Enumeration DateJune 24, 2006
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1851327571 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
3617 S PACIFIC HWY, Medford, OR 97501

Other Names 1

Doing Business AsPhoenix Health Center- La Clinica

Other Identifiers 1

Medicaid022868OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Health Center- La Clinica is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

56

Medicare enrollment records show 56 clinicians reassign Medicare billing to Phoenix Health Center- La Clinica, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner25
Family Practice12
Certified Nurse Midwife (CNM)7
Clinical Social Worker6
Mental Health Counselor2
Internal Medicine1
Obstetrics/Gynecology1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 56
Family Practice
NPI 1053577122
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOSSame address
Nurse Practitioner
NPI 1013227602
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437757374
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265524482
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOSSame address
Family Practice
NPI 1487092045
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1891931911
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306889969
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629751078
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619325438
3617 S PACIFIC HWY
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891730826
221 W STEWART AVE STE 101
Medford, OR 97501
(541) 690-3500
✔ PECOS✔ Accepts Medicare2.4 mi
Certified Nurse Midwife (CNM)
NPI 1922711704
221 W STEWART AVE STE 101
Medford, OR 97501
(541) 535-6239
✔ PECOS✔ Accepts Medicare2.4 mi
Certified Nurse Midwife (CNM)
NPI 1255983904
221 W STEWART AVE STE 101
Medford, OR 97501
(541) 690-3500
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1346695236
910 S CENTRAL AVE
Medford, OR 97501
(541) 618-1380
✔ PECOS✔ Accepts Medicare2.8 mi
Pediatric Medicine
NPI 1902048580
1307 W MAIN ST
Medford, OR 97501
(541) 535-6239
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1366755019
1307 W MAIN ST
Medford, OR 97501
(541) 618-1314
✔ PECOS3.8 mi
Family Practice
NPI 1316972193
1307 W MAIN ST
Medford, OR 97501
(541) 618-1314
✔ PECOS✔ Accepts Medicare3.8 mi
Mental Health Counselor
NPI 1003477431
730 BIDDLE RD
Medford, OR 97504
(541) 494-3800
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1780013110
730 BIDDLE RD
Medford, OR 97504
(541) 535-6239
✔ PECOS✔ Accepts Medicare3.9 mi
Clinical Social Worker
NPI 1992109045
730 BIDDLE RD
Medford, OR 97504
(541) 494-3820
✔ PECOS3.9 mi
Psychiatry
NPI 1265828446
730 BIDDLE RD
Medford, OR 97504
(541) 535-6239
✔ PECOS✔ Accepts Medicare3.9 mi
See all 56 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 38D0628059

Phoenix Health Center-La Clinica · Medford, OR
Active · expires Dec 3, 2027
CLIA Number38D0628059
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorVictoria Cordy MD
Laboratory Phone(541) 512-3113
Laboratory LocationPhoenix Health Center-La Clinica3617 S Pacific Hwy, 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.

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 1851327571. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Phoenix Health Center- La Clinica.

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

La Clinica Del Valle Family Health Care Center Inc. is located at 3617 S Pacific Hwy, Medford, OR 97501. The listed phone number is (541) 535-6239.

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.

Is La Clinica Del Valle Family Health Care Center Inc. enrolled in Medicare?

Yes. La Clinica Del Valle Family Health Care Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Clinica Del Valle Family Health Care Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 9 Medicare specialties reassign their Medicare billing to La Clinica Del Valle Family Health Care Center Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Family Practice (12) and Certified Nurse Midwife (CNM) (7). Of these, 9 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Clinica Del Valle Family Health Care Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628059) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does La Clinica Del Valle Family Health Care Center Inc. accept?

Health plans from BridgeSpan Health Company, Delta Dental Plan of Oregon, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list La Clinica Del Valle Family Health Care Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.