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CH09879AC SANTA ROSA COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Bridge Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-023385
340B ID
CH09879AC
Grant Number
H80CS00259
Additional Details
Current Program Status
Active
Registration Date
11/20/2018
Participating Start Date
11/21/2018
Participating Approval Date
11/21/2018
Last Recertification Date
2/27/2025
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
2235 Challenger Way, Ste 109
Santa Rosa, CA 95407-5421
Billing Address
Santa Rosa Community Health Centers
Attn: Accounts Payable-Bridge Campus
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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