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CH09879AD SANTA ROSA COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Van #2 (ProMaster)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030136
340B ID
CH09879AD
Grant Number
H80CS00259
Additional Details
Current Program Status
Active
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/15/2020
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
1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Billing Address
Santa Rosa Community Health Centers
3569 Round Barn Circle
Att: Accounts Payable Van #2 (ProMaster)
Santa Rosa, CA 95403-5781
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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