Organization · Type 2 NPI

Santa Rosa Community Health Centers

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

NPI number 1962613349 Active

Practice location

3569 Round Barn Circle
Santa Rosa, CA 95403-5781

Fax (707) 306-3635

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	550000087 (CA)
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550000087 (CA)

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

2 other providers at this address

Santa Rosa Community Health CentersFederally Qualified Health Center (FQHC) Santa Rosa, CA NPI 1578631172
Gabriela Meckler, MDFamily Medicine Physician Santa Rosa, CA NPI 1821674524

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

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NPI record

NPI: 1962613349
Entity type: Organization (Type 2)
Issued: May 25, 2007
Last updated: Dec 9, 2022
Status: Active

Other names

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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

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About NPI 1962613349

Santa Rosa Community Health Centers's National Provider Identifier is 1962613349, issued on May 25, 2007. 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.