ALEXANDER VALLEY HEALTHCARE
NPI 1033534466
Clinic/Center - Federally Qualified Health Center (FQHC) in Cloverdale, CA

Active since February 21, 2014CLIA 05D0683907 · Waiver
6 TARMAN DR, CLOVERDALE, CA 95425(707) 894-4229 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexander Valley Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER VALLEY HEALTHCARE (NPI 1033534466) is a healthcare organization registered as a federally qualified health center (fqhc) in Cloverdale, California and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Patrick Richards, Controller, as its authorized official.

NPPES Registry Identity

NPI1033534466
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOPPERTOWER FAMILY MEDICAL CENTER
Location Address6 TARMAN DRCloverdale, CA 95425-3932
Mailing Address106 E 1st StCloverdale, CA 95425-3746 · (707) 669-1780
Organization SubpartNo
Authorized OfficialPatrick RichardsController · (707) 669-1780
Enumeration DateFebruary 21, 2014
Last NPPES UpdateJune 20, 2023
NPPES CertifiedJune 20, 2023
NPI 1033534466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in CA · 110000318
6 TARMAN DR, Cloverdale, CA 95425

Other Names 1

Doing Business AsAlexander Valley Healthcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0683907

Alexander Valley Healthcare · Cloverdale, CA
Active · expires Dec 22, 2027
CLIA Number05D0683907
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAngelique Green
Laboratory Phone(707) 894-4229
Laboratory LocationAlexander Valley Healthcare6 Tarman Dr, Cloverdale, CA 95425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
6 TARMAN DR
CLOVERDALE, CA 95425
Clinic/Center (Federally Qualified Health Center (FQHC))
6 TARMAN DR
CLOVERDALE, CA 95425
Nurse Practitioner (Psychiatric/Mental Health)
6 TARMAN DR
CLOVERDALE, CA 95425
Internal Medicine
6 TARMAN DR
CLOVERDALE, CA 95425
Nurse Practitioner (Family)
6 TARMAN DR
CLOVERDALE, CA 95425
Clinic/Center
6 TARMAN DR
CLOVERDALE, CA 95425
Family Medicine
6 TARMAN DR
CLOVERDALE, CA 95425
Nurse Practitioner
6 TARMAN DR
CLOVERDALE, CA 95425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coppertower Family Medical Center's NPI number?

The NPI number for Coppertower Family Medical Center is 1033534466. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Alexander Valley Healthcare.

Where is Coppertower Family Medical Center located?

Coppertower Family Medical Center is located at 6 Tarman Dr, Cloverdale, CA 95425. The listed phone number is (707) 894-4229.

What is Coppertower Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Coppertower Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0683907) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coppertower Family Medical Center was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.