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FP95407 SANTA ROSA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
ELSIE ALLEN CAMPUS
Type
Family Planning (Title X only)
340B ID
FP95407
Grant Number
FPHPA096061
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2005
Participating Start Date
9/9/2005
Participating Approval Date
9/1/2005
Last Recertification Date
5/11/2023
Termination Date
Termination Reason
7/1/2024
Other
Contacts
Authorizing Official
Santa Rosa Community Health
Gabriela Bernal Leroi, Chief Executive Officer
(415) 312-9646
Primary Contact
Santa Rosa Community Health
Steven Ghidinelli, CAO
(707) 303-3600
Addresses
Street Address
599 BELLEVUE AVENUE
SANTA ROSA, CA 95407
Billing Address
Santa Rosa Community Health Centers
Accounts Payable Elsie Allen Title X
3569 Round Barn Circle
Santa Rosa, CA 95403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/7/12 updated entity name; 2/22/10 ADDED MEDICAID #; 3/14/06 UPDATED ENTITY NAME; 3/14/06 ADDED SUBDIV NAME;
03/07/2012
2/22/10 ADDED MEDICAID #; 3/14/06 UPDATED ENTITY NAME; 3/14/06 ADDED SUBDIV NAME;
04/25/2011
April 2025
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