LA CLINICA WELLNESS CENTER – NPI #1669848792
Clinic/Center
LA CLINICA WELLNESS CENTER is an AHC clinic located in MEDFORD, OR. NPPES has assigned the NPI number 1669848792 to LA CLINICA WELLNESS CENTER on August 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LA CLINICA WELLNESS CENTER” is a dba name, the actual legal business name for this organization is LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 7 years ago on Jul 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LA CLINICA WELLNESS CENTER below.
NPI Profile for
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
(about 11 years ago)
MEDFORD, OR 97504 Phone: (541) 494-3800 Fax: (541) 494-0895
MEDFORD, OR 97504-4127 Phone: (541) 535-6239 Fax: (541) 842-2212
CHIEF OPERATIONS OFFICER
Phone: (541) 535-6239
Identifiers for LA CLINICA WELLNESS CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CLINIC/CENTER/FEDERALLY QUALIFIED HEALTH CENTER | OR | 261QF0400X |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
OR |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.