SANTA ROSA COMMUNITY HEALTH CENTERS


Address: 3569 Round Barn Circle, Santa Rosa, CA 95403-5781
Phone: 7073033600

SANTA ROSA COMMUNITY HEALTH CENTERS (NPI# 1962613349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962613349
Entity Type Organization
Organization Name SANTA ROSA COMMUNITY HEALTH CENTERS
Other Organization Name SOUTHWEST COMMUNITY HEALTH CENTER
Practice Address 3569 Round Barn Circle
Santa Rosa
CA 95403-5781
Practice Telephone 7073033600
Practice Fax Number 7073063635
Mailing Telephone 7073033600
Mailing Fax Number 7073033635
Enumeration Date 2007-05-25
Last Update Date 2012-11-16
Authorized Official Name MR. HAROLD BROCKMAN (CFO)
Authorized Official Telephone 7075838839
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center 550000087 CA Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
550000087 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA FAMILY PACT ID HAP71099F 01
CA HAP71099F 05

Other Provider/Organization Names

Other Name Type Code
Southwest Community Health Center Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871651273 Santa Rosa Community Health Centers Clinic/Center 599 Bellevue Ave, Santa Rosa, CA 95407-7713 2006-12-05
1689742215 Santa Rosa Community Health Centers Clinic/Center 684 Benecia Drive, Santa Rosa, CA 95409-3058 2006-12-01
1780195255 Santa Rosa Community Health Centers Clinic/Center 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2017-10-23
1518345511 Santa Rosa Community Health Centers Clinic/Center 3333 Chanate Rd, Santa Rosa, CA 95404-1707 2015-05-11
1255600037 Santa Rosa Community Health Centers Community/Behavioral Health 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 2011-12-22
1184909103 Santa Rosa Community Health Centers Clinic/Center 983 Sonoma Ave, Santa Rosa, CA 95404-4818 2011-10-21
1558512624 Santa Rosa Community Health Centers Clinic/Center 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 2008-10-07
1114120623 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Court, Santa Rosa, CA 95407-6793 2007-06-11
1578766085 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 2007-06-11
1487857991 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Court, Santa Rosa, CA 95407-6793 2007-06-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SANTA ROSA COMMUNITY HEALTH CENTERS 3569 Round Barn Cir, Santa Rosa, CA 95403-5781

Office Location

Street Address 3569 ROUND BARN CIRCLE
City SANTA ROSA
State CA
Zip Code 95403-5781

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
Find all providers in zip 95403

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386960862 Su Clinica Familiar Clinic/Center Hwy 107 and La Feria Avenue, Santa Rosa, TX 78593-0226 2010-04-09
1871651273 Santa Rosa Community Health Centers Clinic/Center 599 Bellevue Ave, Santa Rosa, CA 95407-7713 2006-12-05
1245739697 Santa Rosa Community Health Center Clinic/Center 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 2018-02-12
1780195255 Santa Rosa Community Health Centers Clinic/Center 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2017-10-23
1518345511 Santa Rosa Community Health Centers Clinic/Center 3333 Chanate Rd, Santa Rosa, CA 95404-1707 2015-05-11
1184909103 Santa Rosa Community Health Centers Clinic/Center 983 Sonoma Ave, Santa Rosa, CA 95404-4818 2011-10-21
1558512624 Santa Rosa Community Health Centers Clinic/Center 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 2008-10-07
1114120623 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Court, Santa Rosa, CA 95407-6793 2007-06-11
1578766085 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 2007-06-11
1487857991 Santa Rosa Community Health Centers Clinic/Center 751 Lombardi Court, Santa Rosa, CA 95407-6793 2007-06-11
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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