| Alexander Valley Healthcare | |
|
100 W 3rd St Cloverdale CA 95425-3204 | |
| (707) 894-4229 | |
| Not Available |
| Full Name | Alexander Valley Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W 3rd St, Cloverdale, California |
| Authorized Official Name and Position | Jenine Rose Saunders (CFO) |
| Authorized Official Contact | 7076691804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Valley Healthcare 106 E 1st St Cloverdale CA 95425-3746 Ph: (707) 669-1780 | Alexander Valley Healthcare 100 W 3rd St Cloverdale CA 95425-3204 Ph: (707) 894-4229 |
| NPI Number | 1699106781 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 06/20/2023 |
| Medicare PECOS PAC ID | 3274445465 |
|---|---|
| Medicare Enrollment ID | O20140910000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699106781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 110000318 (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: 6 Tarman Drive, 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 |