1. Home
  2. Directory
  3. California
  4. Potter Valley
  5. Clinic Center
  6. NPI Profile

POTTER VALLEY COMMUNITY HEALTH CTR
NPI 1083600894
Clinic/Center in Potter Valley, CA

Active since September 27, 2005
10175 MAIN ST, POTTER VALLEY, CA 95469(707) 743-1188(707) 743-1192 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potter Valley Community Health Ctr NPPES

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

POTTER VALLEY COMMUNITY HEALTH CTR (NPI 1083600894) is a healthcare organization registered as a clinic/center in Potter Valley, California and active in the NPI registry since September 2005. The organization lists Jill N Carter, Ex Director, as its authorized official.

NPPES Registry Identity

NPI1083600894
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePOTTER VALLEY COMMUNITY HEALTH CTR
Location Address10175 MAIN STPotter Valley, CA 95469-9749
Mailing AddressPo Box 238Potter Valley, CA 95469-0238 · (707) 743-1188 · Fax (707) 743-1192
Phone(707) 743-1188
Fax(707) 743-1192
Organization SubpartNo
Authorized OfficialJill N CarterEx Director · (707) 743-1188
Enumeration DateSeptember 27, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083600894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · FHC03879F
Definition
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).
10175 MAIN ST, Potter Valley, CA 95469
Open in Google Maps ↗

Other Identifiers 1

MedicaidFHC03879FCA

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 Potter Valley Community Health Ctr's NPI number?

The NPI number for Potter Valley Community Health Ctr is 1083600894. It was assigned to this organization in the NPPES registry on September 27, 2005.

Where is Potter Valley Community Health Ctr located?

Potter Valley Community Health Ctr is located at 10175 Main St, Potter Valley, CA 95469. The listed phone number is (707) 743-1188.

What is Potter Valley Community Health Ctr's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Potter Valley Community Health Ctr was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.