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CH09879P SANTA ROSA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Bridge Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011206
340B ID
CH09879P
Grant Number
H80CS00259
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
2/11/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Santa Rosa Community Health Centers
Naomi Fuchs, CEO
(707) 303-3600 Ext: 3111
Primary Contact
Santa Rosa Community Health Centers
Noeleen Farrell, Director of Corporate Compliance and Assurance
(707) 387-3265
Addresses
Street Address
3333 Chanate Avenue
Santa Rosa, CA 95404-1707
Billing Address
Santa Rosa Community Health Centers
Accts Payable: Bridge
3569 Round Barn Circle
Santa Rosa, CA 95403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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