COPPERTOWER FAMILY MEDICAL CENTER (NPI# 1699106781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699106781 |
| Entity Type | Organization |
| Organization Name | COPPERTOWER FAMILY MEDICAL CENTER |
| Other Organization Name | ALEXANDER VALLEY HEALTHCARE |
| Practice Address |
100 W 3rd St Cloverdale CA 95425-3204 |
| Practice Telephone | 7078944229 |
| Mailing Telephone | 7078944229 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | JENINE ROSE SAUNDERS (CFO) |
| Authorized Official Telephone | 7076691804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 110000318 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Alexander Valley Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427310 | Coppertower Family Medical Center | Clinic/Center | 6 Tarman Drive, Cloverdale, CA 95425-3932 | 2006-02-22 |
| 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 |
| Street Address |
100 W 3RD ST |
| City | CLOVERDALE |
| State | CA |
| Zip Code | 95425-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636701 | Audrey Duong | Dentist | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2018-07-19 |
| 1386076156 | Department of Health Services | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-08-05 |
| 1356529663 | Department of Health Services - Mental Health | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2008-02-08 |
| 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 |
| 1023637006 | Maria Dilley | Speech-Language Pathologist | 133 Champlain Ave, Cloverdale, CA 95425-3208 | 2020-04-10 |
| 1396076717 | Toby Daly | Acupuncturist | 103 Commercial St, Cloverdale, CA 95425-3214 | 2010-01-25 |
| Find all providers in zip 95425 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074268 | Coppertower Family Medical Center | Clinic/Center | 106 E 1st St, Cloverdale, CA 95425-3746 | 2020-08-24 |
| 1326579962 | Kendall Galvez | Clinic/Center | 6 Tarman Dr, Cloverdale, CA 95425-3932 | 2017-03-24 |
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| Find all providers with the same taxonomy | ||||
| City | CLOVERDALE |
| Zip Code | 95425 |
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| 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.