Organization
SONOMA VALLEY COMMUNITY HEALTH CENTER
Active
Parent organization
SONOMA VALLEY COMMUNITY HEALTH CENTER
Other names
Sonoma Valley Community Health Center Mobile Van
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONOMA VALLEY COMMUNITY HEALTH CENTER
Authorized official
CHARYL K JOHNSON (CEO)
(707) 939-6075
Entity
Organization
Contact information
Practice address
19270 SONOMA HIGHWAY 12, SONOMA, CA 95476-5414
(707) 939-6070
(707) 939-6077
Mailing address
19270 SONOMA HIGHWAY 12, SONOMA, CA 95476-5414
(707) 939-6070
(707) 939-6077
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP53855F
—
CA
05
—
FHC53855F
—
CA
05
—
HAP53855F
—
CA
Enumeration date
02/06/2007
Last updated
07/03/2014
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