LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
NPI 1790398048
Clinic/Center - Federally Qualified Health Center (FQHC) in Talent, OR
NPI Status: Active since August 26, 2020
Contact Information
307 WAGNER CREEK ROAD
TALENT, OR
ZIP 97540
Phone: (541) 535-1531
Fax: (541) 512-2082
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 38D2193191
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-16-2026
About LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
This page provides the complete NPI Profile along with additional information for La Clinica Del Valle Family Healthcare Center Inc., a primary care provider established in Talent, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1790398048 assigned on August 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Traci Fossen (Compliance Manager)
- NPI
- 1790398048
- Provider Name
- LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
- Entity Type
- Organization
- Location Address
- 307 WAGNER CREEK ROAD TALENT, OR 97540
- Location Phone
- (541) 535-1531
- Location Fax
- (541) 512-2082
- Mailing Address
- 931 CHEVY WAY MEDFORD, OR 97504
- Mailing Phone
- (541) 535-6239
- Mailing Fax
- (541) 512-2082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-26-2020
- Last Update Date
- 08-26-2020
- Code Navigator
A primary care provider (PCP) like La Clinica Del Valle Family Healthcare Center Inc. 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
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
- 38D2193191
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 17, 2024
- Certificate Expiration Date
- September 16, 2026
- Laboratory Director
- JAMIE OSBORN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to La Clinica Del Valle Family Healthcare Center Inc. 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.
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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 | 7 | 9 | 0 | 3 | 9 | 8 | 0 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 6 | 9 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 6 + 9 + 1 + 6 + 0 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1790398048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750068359 | AMANDA STEELE Individual | Social Worker (Clinical) | 307 WAGNER CREEK ROAD TALENT, OR 97540 (541) 535-1531 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790398048, enumerated in the NPI registry as an "organization" on August 26, 2020
The provider is located at 307 Wagner Creek Road Talent, Or 97540 and the phone number is (541) 535-1531
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 38D2193191 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 August 26, 2020. 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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