ALEXANDER VALLEY HEALTHCARE
NPI 1033534466
Clinic/Center - Federally Qualified Health Center (FQHC) in Cloverdale, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexander Valley Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Alexander Valley Healthcare, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Coppertower Family Medical Center enrolled in Medicare?
Yes. Coppertower Family Medical Center is registered in the Medicare PECOS enrollment system.
When is Coppertower Family Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Coppertower Family Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to Coppertower Family Medical Center, in Addiction Medicine, Allergy/Immunology, Clinical Psychologist, Family Practice, Marriage and Family Therapist and 1 other specialty. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Alexander Valley Healthcare · NPI 1033534466
Federally Qualified Health Center (FQHC) organization in Cloverdale, California. Organization record, active in the CMS NPPES registry since February 21, 2014.
## Identity
- **NPI:** 1033534466 (Entity type: Organization)
- **Enumerated:** February 21, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Coppertower Family Medical Center
- **Organization subpart:** No
- **Authorized official:** Patrick Richards, CONTROLLER
## Practice location
- **Address:** 6 TARMAN DR, Cloverdale, CA 95425-3932
- **Phone:** (707) 894-4229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Marriage and Family Therapist (2), Addiction Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033534466) · Data from the CMS NPPES public registry.