| NPI | 1073100202 |
|---|---|
| Doing Business As | LA CLINICA ACUTE CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TARA LYNETTE JEANNOT COO 541-535-6239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-05-31 |