Phoenix Health Center- La Clinica – Federally Qualified Health Center (FQHC), NPI 1851327571
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Phoenix Health Center- La Clinica
931, Chevy Way, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975044127
Phone: (541) 535-6239
Fax: (541) 842-2212
Type: Mailing
South Pacific Highway, Medford, Jackson County, Oregon, 97535, United States
MEDFORD, OR 97501
Phone: (541) 535-6239
Fax: (541) 512-1026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
9
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031107000627 | O | Clinic/Group Practice | OR | TBD |
| O20090807000262 | O | Federally Qualified Health Center (Fqhc) | OR | TBD |
| O20190702001164 | O | Federally Qualified Health Center (Fqhc) | OR | 2024-08-31 |
| O20190723002983 | O | Federally Qualified Health Center (Fqhc) | OR | 2024-09-30 |
| O20190724003572 | O | Federally Qualified Health Center (Fqhc) | OR | 2025-08-31 |
| O20191122002313 | O | Federally Qualified Health Center (Fqhc) | OR | 2025-09-30 |
| O20231017001401 | O | Federally Qualified Health Center (Fqhc) | OR | TBD |
| O20241002002132 | O | Federally Qualified Health Center (Fqhc) | OR | TBD |
| O20250106003244 | O | Federally Qualified Health Center (Fqhc) | OR | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 97504)
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