Organization
ALEXANDER VALLEY HEALTHCARE
Active
Organization
ALEXANDER VALLEY HEALTHCARE
Active
Parent organization
COPPERTOWER FAMILY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPPERTOWER FAMILY MEDICAL CENTER
Authorized official
PATRICK RICHARDS (CONTROLLER)
(707) 669-1780
Entity
Organization
Contact information
Practice address
6 TARMAN DR, CLOVERDALE, CA 95425-3932
(707) 894-4229
(707) 894-2954
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
95002663
CA
Other
Enumeration date
04/05/2016
Last updated
06/20/2023
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