NPIMap

Organization Active NPI

La Clinica del Valle Family Health Care Center Inc.

Doing business as La Clinica School- Based Health Center at Hanby Middle School

  • Federally Qualified Health Center (FQHC)
  • Gold Hill, OR
National Provider Identifier
1851816920
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Doing business as
La Clinica School- Based Health Center at Hanby Middle School
Practice address
806 6TH Ave N
Gold Hill, OR 97525
Phone
(541) 494-6818
Fax
(541) 494-6816
NPI assigned
Aug 9, 2017
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Lynette Jeannot
Title
Chief Operations Officer
Phone
(541) 535-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

806 6TH Ave N
Gold Hill, OR 97525

Mailing address

931 Chevy Way
Medford, OR 97504-4127
Phone (541) 535-6239

Other names 1

  • La Clinica School- Based Health Center at Hanby Middle School Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2154181La Clinica SBHC at Hanby Middle School806 Sixth Ave, Gold Hill, OR 97525Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
La Clinica del Valle Family33 organizations share this tax ID, including this one
Part of
La Clinica del Valle Family

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

806 N 6th Ave
Gold Hill, OR 97525
Phone (541) 494-6800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1851816920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-535-6239",
            "fax_number": "541-842-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 6TH AVE N",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "97525",
            "telephone_number": "541-494-6818",
            "fax_number": "541-494-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.",
        "enumeration_date": "2017-08-09",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "JEANNOT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "541-535-6239"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinica School- Based Health Center at Hanby Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold Hill, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.