Organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Active
Organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Active
Other names
Southwest Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA BERNAL-LEROI CEO (CHIEF EXECUTIVE OFFICER)
(707) 303-3600
Entity
Organization
Contact information
Practice address
751 LOMBARDI COURT, SANTA ROSA, CA 95407-6793
(707) 547-2222
(707) 527-0472
Mailing address
3569 ROUND BARN CIRCLE, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3635
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70663F
CDP ID
CA
Enumeration date
06/11/2007
Last updated
12/09/2022
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