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

Q: 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.

Q: What is Quartz Valley Indian Reservation's specialty?

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

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: August 02, 2026.

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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

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.

Other Providers at the Same Location NPPES 12

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

DR. MARK GRANT MEDINNUS DDS

Dentist (General Practice)