Potter Valley Community Health Ctr

LBN: Potter Valley Community Health Ctr
Potter Valley Community Health Ctr is an health care organization with primary practice located at 10175 Main St , Potter Valley CA 95469-9749. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Potter Valley Community Health Ctr can be contacted via phone (707) 743-1188, or through Carter, Jill N via phone (707) 743-1188.

Contact Information

Primary practice address
10175 Main St Potter Valley CA 95469-9749
Phone: (707) 743-1188
Fax: (707) 743-1192
Website:
Map and Directions
Authorized official contact:
Name: Carter, Jill N
Phone: (707) 743-1188

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X FHC03879F California

Profile Details

NPI number 1083600894
LBN Legal business name Potter Valley Community Health Ctr
DBA Doing business as
Authorized official Carter, Jill N
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083600894 NPPES
California MEDICAID FHC03879F

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