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CH09879S SANTA ROSA COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
St. Joseph's Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014341
340B ID
CH09879S
Grant Number
H80CS00259
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/27/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
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
751 LOMBARDI CT
SANTA ROSA, CA 95407-6798
Billing Address
Santa Rosa Community Health Center
Accts Payable: St. Joseph's Dental Lombardi
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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April 2025
April 2025
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