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ANAV TRIBAL HEALTH CLINIC
NPI 1306062419
Family Medicine in Fort Jones, CA

Active since April 17, 2007CLIA 05D1101603 · Waiver
9024 SNIKTAW LN, FORT JONES, CA 96032(530) 468-4470(530) 468-4478 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anav Tribal Health Clinic NPPES

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

ANAV TRIBAL HEALTH CLINIC (NPI 1306062419) is a healthcare organization registered as a family medicine in Fort Jones, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Kyle Nelson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306062419
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUARTZ VALLEY INDIAN RESERVATION
Location Address9024 SNIKTAW LNFort Jones, CA 96032-9408
Mailing Address9024 Sniktaw LnFort Jones, CA 96032-9408 · (530) 468-4470 · Fax (530) 468-4478
Phone(530) 468-4470
Fax(530) 468-4478
Organization SubpartNo
Authorized OfficialKyle NelsonExecutive Director · (530) 468-4470
Enumeration DateApril 17, 2007
Last NPPES UpdateFebruary 4, 2019
✔ NPI 1306062419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9024 SNIKTAW LN, Fort Jones, CA 96032
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Other Names 1

Doing Business AsAnav Tribal Health Clinic

Other Identifiers 1

Medicaid1306062419CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anav Tribal Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anav Tribal Health Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amber Hunter, FNP-C
Nurse Practitioner
NPI 1851168579
9024 SNIKTAW LN
Fort Jones, CA 96032
(530) 468-4470
✔ PECOS0.3 mi

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 05D1101603

Anav Tribal Health Clinic · Fort Jones, CA
Active · expires Jun 30, 2027
CLIA Number05D1101603
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorBarbara Knox
Laboratory Phone(530) 468-4470
Laboratory LocationAnav Tribal Health Clinic9024 Sniktaw Lane, Fort Jones, CA 96032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Quartz Valley Indian Reservation's NPI number?

The NPI number for Quartz Valley Indian Reservation is 1306062419. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Anav Tribal Health Clinic.

Where is Quartz Valley Indian Reservation located?

Quartz Valley Indian Reservation is located at 9024 Sniktaw Ln, Fort Jones, CA 96032. The listed phone number is (530) 468-4470.

What is Quartz Valley Indian Reservation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Quartz Valley Indian Reservation enrolled in Medicare?

Yes. Quartz Valley Indian Reservation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quartz Valley Indian Reservation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Quartz Valley Indian Reservation. 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 Quartz Valley Indian Reservation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1101603) is associated with this NPI, valid through June 30, 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 Quartz Valley Indian Reservation was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.