National Provider Identifier Database

ANDERSON VALLEY HEALTH CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

ANDERSON VALLEY HEALTH CENTER
13500 AIRPORT ROAD
BOONVILLE, CA95415
Phone: 707-895-3477
Fax: 707-895-2035
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ANDERSON VALLEY HEALTH CENTER

NPI Number 1568449304
Legal business name
LBN
ANDERSON VALLEY HEALTH CENTER
Authorized official SUSAN SMITH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/22/2005
Last updated 07/25/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 110000165
  • CA Medicaid: 051024
  • CA Medicaid: FHC03881F

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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