Organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Active
Parent organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Other names
Southwest Community Health Center, Vista Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA ROSA COMMUNITY HEALTH CENTERS
Authorized official
GABRIELA BERNAL-LEROI CEO (CHIEF EXECUTIVE OFFICER)
(707) 303-3600
Entity
Organization
Contact information
Practice address
3569 ROUND BARN CIRCLE, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3635
Mailing address
3569 ROUND BARN CIRCLE, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3635
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
550000087
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71099F
—
CA
Enumeration date
12/01/2006
Last updated
12/09/2022
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