COPPERTOWER FAMILY MEDICAL CENTER (NPI# 1467427310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467427310 |
| Entity Type | Organization |
| Organization Name | COPPERTOWER FAMILY MEDICAL CENTER |
| Other Organization Name | ALEXANDER VALLEY HEALTHCARE |
| Practice Address |
6 Tarman Drive Cloverdale CA 95425-3932 |
| Mailing Address |
100 West Third St Cloverdale CA 95425-3204 |
| Practice Telephone | 7078944229 |
| Practice Fax Number | 7078942954 |
| Mailing Telephone | 7078944229 |
| Mailing Fax Number | 7078942954 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | JENINE SAUNDERS (CFO) |
| Authorized Official Telephone | 7078944229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY FACT | HAP53824F | 01 |
| CA | RHM53824G | 05 | |
| CA | MEDICARE PTAN NUMBER | ZZZ47432Z | 01 |
| Other Name | Type Code |
|---|---|
| Alexander Valley Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074268 | Coppertower Family Medical Center | Clinic/Center | 106 E 1st St, Cloverdale, CA 95425-3746 | 2020-08-24 |
| 1033534466 | Coppertower Family Medical Center | Clinic/Center | 6 Tarman Dr, Cloverdale, CA 95425-3932 | 2014-02-21 |
| 1699106781 | Coppertower Family Medical Center | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-11-27 |
| Street Address |
6 TARMAN DRIVE |
| City | CLOVERDALE |
| State | CA |
| Zip Code | 95425-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353148 | Beverly D. Westenberg | Technician | 20 King Ridge Hts., Cloverdale, CA 95425 | 2019-08-30 |
| 1043768807 | Sacred Space Healing & Retreat Center International, Inc. | Substance Abuse Rehabilitation Facility | 627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425 | 2016-09-21 |
| 1952637027 | County of Sonoma | Clinic/Center | 140 S Cloverdale Blvd, Cloverdale, CA 95425 | 2009-10-26 |
| 1144318213 | Mark William Garwah | Chiropractor | 142 S Cloverdale Blvd, Cloverdale, CA 95425 | 2006-10-11 |
| 1487605747 | Kevin Joseph Garvin | Dentist | 118 East 2nd Street, Cloverdale, CA 95425 | 2006-05-12 |
| 1508833153 | Cheri Lynn Heffel | Nurse Practitioner | 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425 | 2006-03-02 |
| 1356452262 | Ronald D Schuster | Chiropractor | 240 N Cloverdale Blvd, Suite E, Cloverdale, CA 95425 | 2006-08-31 |
| 1184731234 | Richard A Nicholls | Dentist | 114 N Main St, Cloverdale, CA 95425 | 2006-08-24 |
| 1437636701 | Audrey Duong | Dentist | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2018-07-19 |
| 1699106781 | Coppertower Family Medical Center | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-11-27 |
| Find all providers in zip 95425 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578621389 | Putnam County Hospital | Clinic/Center | 51 E Market St, Cloverdale, IN 46120-8427 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CLOVERDALE |
| Zip Code | 95425 |
Please comment or provide details below to improve the information on COPPERTOWER FAMILY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.