Organization
SANTA ROSA COMMUNITY HEALTH CENTER
Active
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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