Organization · Type 2 NPI

Santa Rosa Community Health Centers

Federally Qualified Health Center (FQHC) · Santa Rosa, CA

NPI number 1386712065 Active

Practice location

751 Lombardi Court
Santa Rosa, CA 95407-6798

Call (707) 547-2222 Map

Fax (707) 527-0472

Mailing address

3569 Round Barn Circle
Santa Rosa, CA 95403-5781

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	110000300 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Santa Rosa Community Health CentersFederally Qualified Health Center (FQHC) Santa Rosa, CA NPI 1114120623
Santa Rosa Community Health CentersFederally Qualified Health Center (FQHC) Santa Rosa, CA NPI 1487857991
Stephen Paul Sheerin, MDInternal Medicine Physician Santa Rosa, CA NPI 1265427207

Other federally qualified health center (fqhc) providers in Santa Rosa

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NPI record

NPI: 1386712065
Entity type: Organization (Type 2)
Issued: Dec 1, 2006
Last updated: Dec 9, 2022
Status: Active

Other names

<unavail>
Lombardi Campus · doing business as
Southwest Community Health Center · former legal business name
Southwest Community Health Center · former legal business name

Authorized official

Gabriela Bernal-Leroi, CEO
Chief Executive Officer
(707) 303-3600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386712065

Santa Rosa Community Health Centers's National Provider Identifier is 1386712065, issued on Dec 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 9, 2022.