Mobile Health Center- La Clinica – Federally Qualified Health Center (FQHC), NPI 1104194133

Mobile Health Center- La Clinica is a healthcare provider. based in Medford, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Mobile Health Center- La Clinica is 1104194133

Main info

Organization
Name
Mobile Health Center- La Clinica
NPI
1104194133
Phone
(541) 535-6239
Address
3617 S PACIFIC HWY
Authorized Official
TRACI FOSSEN CQO
Enumeration Date
5 December 2011
Last Update Date
21 November 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness90
Years active:14State licenses:0Digital endpoints

Provider Addresses for Mobile Health Center- La Clinica

  • 3617 S PACIFIC HWY

    MEDFORD, OR 97501

    Phone: (541) 535-6239

    Fax: (541) 512-1026

    Type: Location

  • 931 CHEVY WAY

    MEDFORD, OR 975044127

    Phone: (541) 535-6239

    Fax: (541) 842-2212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97501)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Mobile Health Center- La Clinica identified in CMS data?
CMS-hosted NPPES data lists Mobile Health Center- La Clinica with NPI 1104194133.
Does the file indicate Mobile Health Center- La Clinica is practicing under active NPI?
Directory data currently reports Mobile Health Center- La Clinica as active.
What healthcare role does Mobile Health Center- La Clinica hold?
Scheduling teams often label Mobile Health Center- La Clinica under Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where should I expect Mobile Health Center- La Clinica on a map?
Expect Medford, Oregon as a primary anchor for Mobile Health Center- La Clinica unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

ROGUE COMMUNITY HEALTH

Federally Qualified Health Center (FQHC)
1221 DISK DR
NPI: 1073511721

Phoenix Health Center- La Clinica

Federally Qualified Health Center (FQHC)
931, Chevy Way, Medford, Jackson County, Oregon, 97504, United States
NPI: 1851327571

Women's Health Center La Clinica

Federally Qualified Health Center (FQHC)
931, Chevy Way, Medford, Jackson County, Oregon, 97504, United States
NPI: 1588895106

J. ALAN FRIERSON, M.D.

Federally Qualified Health Center (FQHC)
1322 E MCANDREWS RD STE 202
NPI: 1285965798

Women's Health Center La Clinica

Federally Qualified Health Center (FQHC)
931, Chevy Way, Medford, Jackson County, Oregon, 97504, United States
NPI: 1679896278

West Medford Health Center - La Clinica

Federally Qualified Health Center (FQHC)
931 CHEVY WAY
NPI: 1831492156

Central Point Health Center- La Clinica

Federally Qualified Health Center (FQHC)
931 CHEVY WAY
NPI: 1942503248

East Medford Dental Clinic-La Clinica

Federally Qualified Health Center (FQHC)
931 CHEVY WAY
NPI: 1891061784

La Clinica School-Based Health Center at Crater High School

Federally Qualified Health Center (FQHC)
931 CHEVY WAY
NPI: 1205198470