ANDERSON VALLEY HEALTH CENTER
NPI 1568449304
Clinic/Center - Federally Qualified Health Center (FQHC) in Boonville, CA

Active since December 22, 2005CLIA 05D0676267 · Waiver
13500 AIRPORT ROAD, BOONVILLE, CA 95415(707) 895-3477(707) 895-2035 Get Directions Write a Review

NPPES record last updated: July 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anderson Valley Health Center NPPES

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

ANDERSON VALLEY HEALTH CENTER (NPI 1568449304) is a healthcare organization registered as a federally qualified health center (fqhc) in Boonville, California and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Susan D Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568449304
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameANDERSON VALLEY HEALTH CENTER
Location Address13500 AIRPORT ROADBoonville, CA 95415
Mailing AddressPo Box 338Boonville, CA 95415-0338 · (707) 895-3477 · Fax (707) 895-2035
Fax(707) 895-2035
Organization SubpartNo
Authorized OfficialSusan D SmithCeo · (707) 895-3477
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 25, 2015
NPI 1568449304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in CA · 110000165
Also ListedFamily MedicineTaxonomy 207Q00000X
13500 AIRPORT ROAD, Boonville, CA 95415

Other Identifiers 5

Medicare UPINA43320CA
Medicare ID-Type Unspecified051024
Medicaid051024CA
Medicare PINBX588ACA
MedicaidFHC03881FCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D0676267

Anderson Valley Health Center · Boonville, CA
Active · expires Oct 30, 2026
CLIA Number05D0676267
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorCary Smeltzer
Laboratory Phone(707) 895-3477
Laboratory LocationAnderson Valley Health Center13500 Airport Rd, Boonville, CA 95415
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 3

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

Nurse Practitioner
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Family Medicine
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Family Medicine
13500 AIRPORT ROAD
BOONVILLE, CA 95415

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 Anderson Valley Health Center's NPI number?

The NPI number for Anderson Valley Health Center is 1568449304. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Anderson Valley Health Center located?

Anderson Valley Health Center is located at 13500 Airport Road, Boonville, CA 95415. The listed phone number is (707) 895-3477.

What is Anderson Valley Health 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 Anderson Valley Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0676267) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anderson Valley Health Center was last updated on July 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.