SANTA ROSA COMMUNITY HEALTH CENTERS NPI 1871651273

NPI Information

NPI: 1871651273
Provider Name: SANTA ROSA COMMUNITY HEALTH CENTERS

Former Legal Business Name: SOUTHWEST COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
599 BELLEVUE AVE
SANTA ROSA, CA
ZIP 95407
Phone: (707) 528-5770
Get Directions

SANTA ROSA COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Santa Rosa, CA. SANTA ROSA COMMUNITY HEALTH CENTERS NPI is 1871651273. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southwest Community Health Center.

The provider's business location address is:

599 BELLEVUE AVE
SANTA ROSA, CA
ZIP 95407-713
Phone: (707) 528-5770
Fax: (707) 528-5770

The provider's authorized official is Gabriela Bernal-leroi .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 303-3600.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	110000489	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC70937F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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