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institution
Potter Valley Community Health Ctr
Clinic/Center in Potter Valley, California
NPI 1083600894

Potter Valley Community Health Ctr is a Clinic/Center based in Potter Valley, CA. Potter Valley Community Health Ctr practices in Potter Valley, CA. The NPI Number for Potter Valley Community Health Ctr is 1083600894 and holds a License No. FHC03879F (California).

The current practice location address for Potter Valley Community Health Ctr is 10175 Main St, Potter Valley, CA and can be reached out via phone at 707-743-1188 and via fax at 707-743-1192.

Location: 10175 Main St, Potter Valley, CA, 95469-0238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083600894
Provider Name
Potter Valley Community Health Ctr
Credential
Provider Entity Type
Organization
Address
10175 Main St, Potter Valley, CA, 95469-0238
Phone Number
707-743-1188
Fax Number
707-743-1192
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC03879F 05 CA
institution
Provider Business Practice Location Address Details
Address
10175 Main St
City
Potter Valley
State
California
Zip
95469-9749
Phone Number
707-743-1188
Fax Number
707-743-1192
person
Provider Business Mailing Address Details
Address
10175 Main St
City
Potter Valley
State
California
Zip
95469-9749
Phone Number
707-743-1188
Fax Number
707-743-1192
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
FHC03879F (California)
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).
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