SR
Medical Clinic
SANTA ROSA COMMUNITY HEALTH: PEDIATRIC CAMPUS
711 STONY POINT RD, SUITE 17, SANTA ROSA, CA 95407
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
- Not reported
- LTC
- NON-LTC
- NPI
- 1780195255
- ZIP
- 95407
- id
- 2246
- CITY
- SANTA ROSA
- FLAG
- Not reported
- ZIP9
- 6864
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 110000784
- DEEMED
- Not reported
- T18 19
- Not reported
- ADDRESS
- 711 STONY POINT RD, SUITE 17
- AO NAME
- Not reported
- FACNAME
- SANTA ROSA COMMUNITY HEALTH: PEDIATRIC CAMPUS
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306494122
- CAPACITY
- 0
- LATITUDE
- 38.4291
- LOCATION
- (-122.742054,38.4291)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.742054
- CCLHO CODE
- 49
- CCLHO NAME
- SONOMA
- START DATE
- 01OCT2019
- TRAUMA CTR
- Not reported
- ASPEN FACID
- 11000000784
- COUNTY CODE
- 590
- COUNTY NAME
- SONOMA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630017820
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- Not reported
- BUSINESS NAME
- SANTA ROSA COMMUNITY HEALTH CENTERS
- DISTRICT NAME
- SANTA ROSA
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550005901
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 11
- FIPS COUNTY CODE
- 6097
- LICENSED CERTIFIED
- LICENSED ONLY
- PARTICIPATION DATE
- Not reported
- CONTACT PHONE NUMBER
- (707) 578-2005
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2020-12-10T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-12-10T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-12-09T00:00:00
- 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: PEDIATRIC CAMPUS
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