Organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Active
Parent organization
SANTA ROSA COMMUNITY HEALTH CENTERS
Other names
Dutton Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA ROSA COMMUNITY HEALTH CENTERS
Authorized official
GABRIELA BERNAL-LEROI CEO (DIRECTOR OF REVENUE CYCLE)
(707) 303-3600
Entity
Organization
Contact information
Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 303-3600
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
12/09/2022
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