Santa Rosa Community Health Centers in Santa Rosa - Federally Qualified Health Center (fqhc)
Santa Rosa Community Health Centers - NPI 1386712065
Santa Rosa Community Health Centers is a Federally Qualified Health Center (fqhc) in Santa Rosa, California. Santa Rosa Community Health Centers practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Santa Rosa Community Health Centers is 1386712065. The last update date is 2022-12-09.
Santa Rosa Community Health Centers's current location address is 751 Lombardi Court, Santa Rosa, California. You can contact this provider via phone number 7075472222 and fax number 7075270472. The mailing address for Santa Rosa Community Health Centers is 751 Lombardi Court, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Rosa Community Health Centers |
|---|---|
| Address | 751 Lombardi Court, Santa Rosa, California |
| Phone Number | 7075472222 |
| Fax Number | 7075270472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Bernal-Leroi Gabriela |
| Credentials | CEO |
| Telephone Number | 7073033600 |
NPI Number Detail
| NPI Number | 1386712065 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2022-12-09 |
Provider Mailing Address Detail
| Address | 751 Lombardi Court |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954076798 |
| Phone Number | 7075472222 |
| Fax Number | 7075270472 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000300 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70663F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Santa Rosa Community Health Centers by the Centers for Medicare & Medicaid Services (CMS)?
The Santa Rosa Community Health Centers has been assigned the NPI (National Provider Identifier) 1386712065. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Santa Rosa Community Health Centers is geographically located?
The Santa Rosa Community Health Centers is physically situated at the following location: 751 Lombardi Court, Santa Rosa, CA, 954076798.
What is the area of specialization for Santa Rosa Community Health Centers, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Santa Rosa Community Health Centers is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386712065 to Santa Rosa Community Health Centers?
The Centers for Medicare & Medicaid Services originally issued the 1386712065 to Santa Rosa Community Health Centers on 2006-12-01.
As of what date were the Santa Rosa Community Health Centers's details last updated?
The information pertaining to the Santa Rosa Community Health Centers, including its address, specialty, and other details, was most recently updated on 2022-12-09.
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