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CH10079H LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC (Terminated)
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Main Details
Name
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC
Subdivision Name
La Clinica School-Based Health Center at Jackson Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004354
340B ID
CH10079H
Grant Number
H80CS00759
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
2/28/2019
Termination Date
Termination Reason
7/1/2019
Other
Contacts
Authorizing Official
La Clinica del Valle
Traci Fossen, Chief Quality Officer
(541) 512-3912
Primary Contact
La Clinica del Valle
Sochil Castillo, Compliance Coordinator
(541) 512-3127
Addresses
Street Address
320 W 2nd St
Medford, OR 97501-2514
Billing Address
La Clinica Del Valle Family Health Care Center
3617 S. Pacific Hwy
Medford, OR 97501-8957
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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