Organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Active
Other names
Southwest Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI FUCHS (CHIEF EXECUTIVE OFFICER)
(707) 303-3091
Entity
Organization
Contact information
Practice address
684 BENECIA DRIVE, SANTA ROSA, CA 95409-3058
(707) 573-4565
(707) 576-6687
Mailing address
3569 ROUND BARN CIRCLE, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3635
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
070000491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUF0034G
—
CA
Enumeration date
12/01/2006
Last updated
05/09/2012
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