La Clinica School-Based Health Center At Jewett Elementary School
LBN: La Clinica Del Valle Family Health Care Center Inc.
La Clinica School-Based Health Center At Jewett Elementary School is an health care organization with primary practice located at 1001 Manzanita St , Central Point OR 97502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
La Clinica Del Valle Family Health Care Center Inc. can be contacted via phone (541) 494-6611, or through Jeannot, Tara Lynette via phone (541) 535-6239.
Contact Information
Primary practice address
1001 Manzanita St
Central Point OR 97502
Phone: (541) 494-6611
Fax: (541) 494-6613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Oregon |
Profile Details
| NPI number | 1760727135 |
|---|---|
| LBN Legal business name | La Clinica Del Valle Family Health Care Center Inc. |
| DBA Doing business as | La Clinica School-Based Health Center At Jewett Elementary School |
| Authorized official | Jeannot, Tara Lynette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 11th, 2012 |
| Last updated | Jul 15th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760727135 | NPPES |
| Oregon | MEDICAID | 022868 |
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