Organization · Type 2 NPI
Potter Valley Community Health CTR
Clinic/Center · Potter Valley, CA
NPI number
1083600894
Active
Practice location
10175 Main St
Potter Valley, CA 95469-9749
Fax (707) 743-1192
Mailing address
PO Box 238
Potter Valley, CA 95469-0238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | FHC03879F (CA) |
Clinic/Center: 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).
About NPI 1083600894
Potter Valley Community Health CTR's National Provider Identifier is 1083600894, issued on Sep 27, 2005. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Potter Valley, CA. The record was last updated on Aug 22, 2020.