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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
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