Anderson Valley Health Center
LBN: Anderson Valley Health Center
Anderson Valley Health Center is an health care organization with primary practice located at 13500 Airport Road , Boonville CA 95415. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Anderson Valley Health Center can be contacted via phone (707) 895-3477, or through Smith, Susan D via phone (707) 895-3477.
Contact Information
Primary practice address
13500 Airport Road
Boonville CA 95415
Phone: (707) 895-3477
Fax: (707) 895-2035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 110000165 | California |
Profile Details
| NPI number | 1568449304 |
|---|---|
| LBN Legal business name | Anderson Valley Health Center |
| DBA Doing business as | |
| Authorized official | Smith, Susan D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 25th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568449304 | NPPES |
| California | MEDICAID | 051024 | |
| California | MEDICAID | FHC03881F |
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