SR
Medical Clinic
SANTA ROSA COMMUNITY HEALTH: DENTAL CAMPUS
1110 N DUTTON AVE, SANTA ROSA, CA 95401
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 921053
- LTC
- NON-LTC
- NPI
- 1780195255
- ZIP
- 95401
- id
- 5833
- CITY
- SANTA ROSA
- FLAG
- Not reported
- ZIP9
- 4606
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630014843
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 1110 N DUTTON AVE
- AO NAME
- Not reported
- FACNAME
- SANTA ROSA COMMUNITY HEALTH: DENTAL CAMPUS
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306494125
- CAPACITY
- 0
- LATITUDE
- 38.446749
- LOCATION
- (-122.729805,38.446749)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.729805
- CCLHO CODE
- 49
- CCLHO NAME
- SONOMA
- START DATE
- 01SEP2025
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630014843
- COUNTY CODE
- 590
- COUNTY NAME
- SONOMA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 110001212
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2018-06-11T00:00:00
- BUSINESS NAME
- SANTA ROSA COMMUNITY HEALTH CENTERS
- DISTRICT NAME
- SANTA ROSA
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 110000489
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 11
- FIPS COUNTY CODE
- 6097
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2018-05-03T00:00:00
- CONTACT PHONE NUMBER
- (707) 303-3395
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2001-08-28T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-04-12T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-04-11T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of SANTA ROSA COMMUNITY HEALTH: DENTAL CAMPUS
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