SANTA ROSA COMMUNITY HEALTH CENTERS NPI 1518345511

NPI Information

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 1518345511. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Health Services.

The provider's business location address is:

2235 CHALLENGER WAY STE 109
SANTA ROSA, CA
ZIP 95407-421
Phone: (707) 583-8700
Fax: (707) 303-1086

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 CLIA number assigned to this NPI record is 05D0911901 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/11/2015 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:

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