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
MR. HAROLD BROCKMAN (CFO)
(707) 583-8839
Entity
Organization
Contact information
Practice address
711 STONY POINT RD STE 17, SANTA ROSA, CA 95407-6848
(707) 578-2005
(707) 578-8037
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
—
—
Other
Enumeration date
10/07/2008
Last updated
11/15/2012
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