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ROUND VALLEY INDIAN HEALTH CENTER, INC.
NPI 1669532750
Clinic/Center in Covelo, CA

Active since December 11, 2006CLIA 05D0904229 · Microscopy
24065 BIGGAR LANE, COVELO, CA 95428(707) 983-6404(707) 983-6184 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Round Valley Indian Health Center, Inc. NPPES

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

ROUND VALLEY INDIAN HEALTH CENTER, INC. (NPI 1669532750) is a healthcare organization registered as a clinic/center in Covelo, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through November 5, 2027 and lists Otis D Brotherton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669532750
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROUND VALLEY INDIAN HEALTH CENTER, INC.
Location Address24065 BIGGAR LANECovelo, CA 95428-0247
Mailing AddressPo Box 247Covelo, CA 95428-0247 · (707) 983-6404 · Fax (707) 983-6184
Phone(707) 983-6404
Fax(707) 983-6184
Organization SubpartNo
Authorized OfficialOtis D BrothertonExecutive Director · (707) 983-6181
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1669532750 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 · 110000097
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).
24065 BIGGAR LANE, Covelo, CA 95428
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Other Identifiers 1

MedicaidTHP11697FCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0904229

Round Valley Indian Health Center PO Box 247 · Covelo, CA
Active · expires Nov 5, 2027
CLIA Number05D0904229
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorLaurence R. Alavezos
Laboratory Phone(707) 983-6181
Laboratory LocationRound Valley Indian Health Center PO Box 247Highway 162 And Biggar Lane, Covelo, CA 95428
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

ROSE MARGARETTE JOHNSON DENTAL HYGIENIST
Dental Hygienist
24065 BIGGAR LANE
COVELO, CA 95428
Mendocino County (707) 983-6181
MARILYN SUE MAGOFFIN FNP, CWCN
Nurse Practitioner
24065 BIGGAR LANE
COVELO, CA 95428
Mendocino County (707) 983-6181
MR. STEPHEN ARCHIE JOHNSON RN, NP ,PA
Nurse Practitioner (Family)
24065 BIGGAR LANE
COVELO, CA 95428
Mendocino County (707) 983-6181

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 Round Valley Indian Health Center, Inc.'s NPI number?

The NPI number for Round Valley Indian Health Center, Inc. is 1669532750. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Round Valley Indian Health Center, Inc. located?

Round Valley Indian Health Center, Inc. is located at 24065 Biggar Lane, Covelo, CA 95428. The listed phone number is (707) 983-6404.

What is Round Valley Indian Health Center, Inc.'s specialty?

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

Does Round Valley Indian Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0904229) is associated with this NPI, valid through November 5, 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 Round Valley Indian Health Center, Inc. was last updated on March 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.