SANTA ROSA COMMUNITY HEALTH CENTER NPI 1245739697

NPI Information

NPI: 1245739697
Provider Name: SANTA ROSA COMMUNITY HEALTH CENTER

Doing Business As: AIRWAY CAMPUS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3883 AIRWAY DR STE 202
SANTA ROSA, CA
ZIP 95403
Phone: (707) 583-8748
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SANTA ROSA COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Santa Rosa, CA. SANTA ROSA COMMUNITY HEALTH CENTER NPI is 1245739697. The provider is registered as an organization entity type.
The provider Is Doing Business As Airway Campus.

The provider's business location address is:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
ZIP 95403-671
Phone: (707) 583-8748
Fax: (707) 236-6919

The provider's authorized official is Harold Brockman .
The authorized official title is Cfo and has the following contact phone number (707) 583-8839.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.

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)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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