Vista Campus

LBN: Santa Rosa Community Health Centers
Vista Campus is an health care organization with primary practice located at 3569 Round Barn Circle , Santa Rosa CA 95403-5781. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, 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 Health Centers can be contacted via phone (707) 303-3600, or through Bernal-Leroi, Gabriela via phone (707) 303-3600.

Contact Information

Primary practice address
3569 Round Barn Circle Santa Rosa CA 95403-5781
Phone: (707) 303-3600
Fax: (707) 303-3635
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 / Clinic/Center 261Q00000X 550000087 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550000087 California

Profile Details

NPI number 1578631172
LBN Legal business name Santa Rosa Community Health Centers
DBA Doing business as Vista Campus
Authorized official Bernal-Leroi, Gabriela CEO
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1578631172 NPPES
California MEDICAID FHC71099F

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