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
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) 306-3635
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
01
—
HAP71099F
FAMILY PACT ID
CA
05
—
HAP71099F
—
CA
Enumeration date
05/25/2007
Last updated
12/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up