Jewish Community Free Clinic

LBN: Jewish Community Free Clinic
Jewish Community Free Clinic is an health care organization with primary practice located at 50 Montgomery Dr , Santa Rosa CA 95404-6615. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Jewish Community Free Clinic can be contacted via phone (707) 585-7780, or through Waldman, Donna L via phone (707) 888-0850.

Contact Information

Primary practice address
50 Montgomery Dr Santa Rosa CA 95404-6615
Phone: (707) 585-7780
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waldman, Donna L
Phone: (707) 888-0850

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 550001029 California

Profile Details

NPI number 1073843819
LBN Legal business name Jewish Community Free Clinic
DBA Doing business as
Authorized official Waldman, Donna L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Sep 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers