Santa Rosa Community Dental Center

LBN: Santa Rosa Community Healt Centers
Santa Rosa Community Dental Center is an health care organization with primary practice located at 1110 N Dutton Ave , Santa Rosa CA 95401-4606. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Santa Rosa Community Healt Centers can be contacted via phone (707) 303-3600, or through Bernal-Leroi, Gabriela via phone (707) 303-3600.

Contact Information

Primary practice address
1110 N Dutton Ave Santa Rosa CA 95401-4606
Phone: (707) 303-3600
Fax: (707) 396-5155
Website:
Map and Directions
Authorized official contact:
Name: Bernal-Leroi, Gabriela CEO
Phone: (707) 303-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1023439759
LBN Legal business name Santa Rosa Community Healt Centers
DBA Doing business as Santa Rosa Community Dental Center
Authorized official Bernal-Leroi, Gabriela CEO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2013
Last updated Dec 9th, 2022 - about 2 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.

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