LA CLINICA SCHOOL BASED HEALTH CENTER AT MAE RICHARDSON ELEMENTARY SCH
NPI 1619368636
Clinic/Center - Federally Qualified Health Center (FQHC) in Central Point, OR
NPI Status: Active since February 12, 2015
Contact Information
200 W PINE ST
CENTRAL POINT, OR
ZIP 97502
Phone: (541) 494-6700
Fax: (541) 665-5881
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 38D2154193
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-06-2026
About LA CLINICA SCHOOL BASED HEALTH CENTER AT MAE RICHARDSON ELEMENTARY SCH
This page provides the complete NPI Profile along with additional information for La Clinica School Based Health Center At Mae Richardson Elementary Sch, a primary care provider established in Central Point, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1619368636 assigned on February 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as La Clinica School Based Health Center At Mae Richardson Elementary Sch. The authorized official of this NPI record is Tara Lynette Jeannot (Chief Operations Officer)
- NPI
- 1619368636
- Provider Legal Name
- LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
- Other Organization Name
- LA CLINICA SCHOOL BASED HEALTH CENTER AT MAE RICHARDSON ELEMENTARY SCH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 W PINE ST CENTRAL POINT, OR 97502
- Location Phone
- (541) 494-6700
- Location Fax
- (541) 665-5881
- Mailing Address
- 931 CHEVY WAY MEDFORD, OR 97504
- Mailing Phone
- (541) 535-6239
- Mailing Fax
- (541) 665-5881
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-12-2015
- Last Update Date
- 07-15-2019
- Code Navigator
A primary care provider (PCP) like La Clinica School Based Health Center At Mae Richardson Elementary Sch 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
- License State
- OR
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.
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 |
|---|---|---|---|
| 022868 | MEDICAID (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
- 38D2154193
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 07, 2024
- Certificate Expiration Date
- September 06, 2026
- Laboratory Director
- DR. JAMIE OSBORN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to La Clinica School Based Health Center At Mae Richardson Elementary Sch to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LA CLINICA SCHOOL BASED HEALTH CENTER AT MAE RICHARDSON ELEMENTARY SCH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 3 | 6 | 8 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 6 | 6 | 16 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 6 + 6 + 1 + 6 + 6 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1619368636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598313264 | HEATHER WOOD RN Individual | Registered Nurse | 200 W PINE ST CENTRAL POINT, OR 97502 (541) 494-6700 |
| 1043793995 | EMMA ROOT Individual | Counselor (Mental Health) | 200 W PINE ST CENTRAL POINT, OR 97502 (541) 535-6239 |
| 1063957538 | ELIZABETH JEAN PETERSON LPC, CADC I Individual | Counselor (Professional) | 200 W PINE ST CENTRAL POINT, OR 97502 (541) 535-6239 |
| 1134900749 | SAUL ADRIAN CERVANTES Individual | Counselor | 200 W PINE ST CENTRAL POINT, OR 97502 (541) 951-6282 |
| 1184344905 | MICHELLE DUNN Individual | Counselor (Mental Health) | 200 W PINE ST CENTRAL POINT, OR 97502 (541) 535-6239 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619368636, enumerated in the NPI registry as an "organization" on February 12, 2015
The provider is located at 200 W Pine St Central Point, Or 97502 and the phone number is (541) 494-6700
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with 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 make sure your health plan is currently accepted.
The provider's CLIA number is 38D2154193 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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