| Brookwood Health Center | |
|
983 Sonoma Ave Santa Rosa CA 95404-4818 | |
| (707) 547-2220 | |
| (707) 527-0472 |
| Full Name | Brookwood Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 983 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | Gabriela Bernal-leroi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7073033600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Health Center 3569 Round Barn Circle Santa Rosa CA 95403-5781 Ph: (707) 547-2220 | Brookwood Health Center 983 Sonoma Ave Santa Rosa CA 95404-4818 Ph: (707) 547-2220 |
| NPI Number | 1184909103 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 0345130423 |
|---|---|
| Medicare Enrollment ID | O20130328000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184909103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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