ANDERSON VALLEY HEALTH CENTER – NPI #1568449304
Clinic/Center

ANDERSON VALLEY HEALTH CENTER is an AHC clinic located in BOONVILLE, CA. NPPES has assigned the NPI number 1568449304 to ANDERSON VALLEY HEALTH CENTER on December 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 11 years ago on Jul 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDERSON VALLEY HEALTH CENTER below.

NPI Profile for
ANDERSON VALLEY HEALTH CENTER

NPI Number
1568449304
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANDERSON VALLEY HEALTH CENTER
Primary location
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Phone: (707) 895-3477 Fax: (707) 895-2035
Mailing address
PO BOX 338
BOONVILLE, CA 95415-0338
Phone: (707) 895-3477 Fax: (707) 895-2035
Organization Subpart
No
Authorized Official
SUSAN SMITH
CEO
Phone: (707) 895-3477
Updated
Identifiers

Identifiers for ANDERSON VALLEY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAFHC03881F
MEDICAIDCA051024
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 110000165
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.