| Alexander Valley Healthcare | |
|
6 Tarman Drive Cloverdale CA 95425-3932 | |
| (707) 894-4229 | |
| (707) 894-2954 |
| Full Name | Alexander Valley Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6 Tarman Drive, Cloverdale, California |
| Authorized Official Name and Position | Jenine Saunders (CFO) |
| Authorized Official Contact | 7078944229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Valley Healthcare 106 E 1st St Cloverdale CA 95425-3746 Ph: (707) 669-1780 | Alexander Valley Healthcare 6 Tarman Drive Cloverdale CA 95425-3932 Ph: (707) 894-4229 |
| NPI Number | 1467427310 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467427310 | NPI | - | NPPES |
| RHM53824G | Medicaid | CA | |
| HAP53824F | Other | CA | FAMILY FACT |
| ZZZ47432Z | Other | CA | MEDICARE PTAN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (California) | Primary |
Alexander Valley Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 | |
Alexander Valley Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954 | |
Alexander Valley Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 E 1st St, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954 | |
Alexander Valley Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W 3rd St, Cloverdale, CA 95425 Phone: 707-894-4229 |