NPIMap

Organization Active NPI

Coppertower Family Medical Center

Doing business as alexander Valley healthcare

  • Clinic/Center
  • Cloverdale, CA
National Provider Identifier
1568074268
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COPPERTOWER FAMILY MEDICAL CENTER
Doing business as
alexander Valley healthcare
Practice address
106 E 1St St
Cloverdale, CA 95425-3746
Phone
(707) 894-4229
Fax
(707) 894-2954
NPI assigned
Aug 24, 2020
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jenine Saunders
Title
Cfo
Phone
(707) 669-1804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

106 E 1St St
Cloverdale, CA 95425-3746

Mailing address

106 E 1St St
Cloverdale, CA 95425-3746
Phone (707) 669-1780

Other names 1

  • alexander Valley healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coppertower Family Med Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1568074268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253746",
            "telephone_number": "707-669-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253746",
            "telephone_number": "707-894-4229",
            "fax_number": "707-894-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERTOWER FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JENINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-669-1804"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alexander Valley healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "alexander Valley healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cloverdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.