Southwest Community Health Center

LBN: Santa Rosa Community Health Centers
Southwest Community Health Center is an health care organization with primary practice located at 751 Lombardi Court , Santa Rosa CA 95407-6793. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Santa Rosa Community Health Centers can be contacted via phone (707) 547-2222, or through Brockman, Harold via phone (707) 583-8839.

Contact Information

Primary practice address
751 Lombardi Court Santa Rosa CA 95407-6793
Phone: (707) 547-2222
Fax: (707) 527-0472
Website:
Map and Directions
Authorized official contact:
Name: Brockman, Harold
Phone: (707) 583-8839

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 110000300 California

Profile Details

NPI number 1114120623
LBN Legal business name Santa Rosa Community Health Centers
DBA Doing business as Southwest Community Health Center
Authorized official Brockman, Harold
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Nov 19th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114120623 NPPES
California Other EAP70663F EAPC ID

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