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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