ALEXANDER VALLEY HEALTHCARE NPI 1063875128

NPI Information

NPI: 1063875128
Provider Name: ALEXANDER VALLEY HEALTHCARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6 TARMAN DR
CLOVERDALE, CA
ZIP 95425
Phone: (707) 894-4229
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ALEXANDER VALLEY HEALTHCARE is a federally qualified health center (fqhc) clinic center in Cloverdale, CA. ALEXANDER VALLEY HEALTHCARE NPI is 1063875128. The provider is registered as an organization entity type.

The provider's business location address is:

6 TARMAN DR
CLOVERDALE, CA
ZIP 95425-932
Phone: (707) 894-4229
Fax: (707) 894-2954

The provider's authorized official is Patrick Richards .
The authorized official title is Controller and has the following contact phone number (707) 669-1780.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	95002663	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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