La Clinica School-Based Health Center at Crater High School – Federally Qualified Health Center (FQHC), NPI 1205198470

La Clinica School-Based Health Center at Crater High School is a healthcare provider. based in Medford, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for La Clinica School-Based Health Center at Crater High School is 1205198470

Main info

Organization
Name
La Clinica School-Based Health Center at Crater High School
NPI
1205198470
Phone
(541) 535-6239
Address
931 CHEVY WAY
Authorized Official
TARA LYNETTE JEANNOT CHIEF OPERATIONS OFFICER
Enumeration Date
13 June 2012
Last Update Date
15 July 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for La Clinica School-Based Health Center at Crater High School

  • 931 CHEVY WAY

    MEDFORD, OR 975044127

    Phone: (541) 535-6239

    Fax: (541) 842-2212

    Type: Mailing

  • 655 N 3RD ST

    CENTRAL POINT, OR 97502

    Phone: (541) 494-6323

    Fax: (541) 494-6381

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 97504)

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Frequently asked questions

How do I look up La Clinica School-Based Health Center at Crater High School by NPI?
Use NPI 1205198470 when you need to reference La Clinica School-Based Health Center at Crater High School in forms, claims, or directories.
Is La Clinica School-Based Health Center at Crater High School's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does La Clinica School-Based Health Center at Crater High School treat or focus on?
Patients typically see La Clinica School-Based Health Center at Crater High School under the specialty Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is La Clinica School-Based Health Center at Crater High School's primary listing?
We display Medford, Oregon because that is what the record indicates for La Clinica School-Based Health Center at Crater High School.
What if Medford, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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