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CH09879J SANTA ROSA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Brookwood Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010601
340B ID
CH09879J
Grant Number
H80CS00259
Additional Details
Current Program Status
Terminated
Registration Date
6/27/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/27/2012
Last Recertification Date
2/3/2022
Termination Date
Termination Reason
4/1/2023
Site closure
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
983 Sonoma Ave
Santa Rosa, CA 95404-4818
Billing Address
Santa Rosa Community Health Centers
Att: Accounts Payable Brookwood Campus
3569 Round Barn Circle
Santa Rosa, CA 95403-5781
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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