Organization
COPPERTOWER FAMILY MEDICAL CENTER
Active
Other names
Alexander Valley Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK RICHARDS (CONTROLLER)
(707) 669-1780
Entity
Organization
Contact information
Practice address
6 TARMAN DR, CLOVERDALE, CA 95425-3932
(707) 894-4229
Mailing address
106 E 1ST ST, CLOVERDALE, CA 95425-3746
(707) 669-1780
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000318
CA
Other
Enumeration date
02/21/2014
Last updated
06/20/2023
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