Organization
SANTA ROSA COMMUNITY HEALTH CENTER
Active
Other names
Airway Campus
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD BROCKMAN (CFO)
(707) 583-8839
Entity
Organization
Contact information
Practice address
3883 AIRWAY DR STE 202, SANTA ROSA, CA 95403-1671
(707) 583-8748
(707) 236-6919
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 396-5155
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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