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WATERFORD COMMUNITY HEALTH CENTER
NPI 1881030401
Clinic/Center - Rural Health in Waterford, CA

Active since May 22, 2013CLIA 05D2079717 · Microscopy
12146 YOSEMITE BLVD, WATERFORD, CA 95386(209) 848-4138(209) 848-7008 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 18, 2020, Dec 10, 2020, Nov 8, 2016 and 1 more (4 updates tracked since 2016).

About Waterford Community Health Center NPPES

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

WATERFORD COMMUNITY HEALTH CENTER (NPI 1881030401) is a healthcare organization registered as a rural health in Waterford, California and active in the NPI registry since May 2013. The organization holds a CLIA Microscopy certificate valid through June 22, 2028 and lists Ann Croskrey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1881030401
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameOAK VALLEY HOSPITAL DISTRICT
Location Address12146 YOSEMITE BLVDWaterford, CA 95386-9163
Mailing Address350 S Oak AveOakdale, CA 95361-3519 · (209) 848-3011 · Fax (209) 848-7008
Phone(209) 848-4138
Fax(209) 848-7008
Organization SubpartYes
Authorized OfficialAnn CroskreyChief Financial Officer · (209) 848-4104
Enumeration DateMay 22, 2013
Last NPPES UpdateDecember 18, 20204 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1881030401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in CA · 030000069
12146 YOSEMITE BLVD, Waterford, CA 95386
Open in Google Maps ↗

Other Names 1

Doing Business AsWaterford Community Health Center

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) 05D2079717

Waterford Community Health Center · Waterford, CA
Active · expires Jun 22, 2028
CLIA Number05D2079717
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorChaitanya N. Mahida
Laboratory Phone(209) 847-3011
Laboratory LocationWaterford Community Health Center12146 Yosemite Blvd, Waterford, CA 95386
CLIA data matches this NPI record on: Address Name
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.

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 Oak Valley Hospital District's NPI number?

The NPI number for Oak Valley Hospital District is 1881030401. It was assigned to this organization in the NPPES registry on May 22, 2013. The provider is doing business as Waterford Community Health Center.

Where is Oak Valley Hospital District located?

Oak Valley Hospital District is located at 12146 Yosemite Blvd, Waterford, CA 95386. The listed phone number is (209) 848-4138.

What is Oak Valley Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Oak Valley Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2079717) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Valley Hospital District was last updated on December 18, 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.