| Airway Campus | |
|
3883 Airway Dr Ste 202 Santa Rosa CA 95403-1671 | |
| (707) 583-8748 | |
| (707) 236-6919 |
| Full Name | Airway Campus |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3883 Airway Dr Ste 202, Santa Rosa, California |
| Authorized Official Name and Position | Harold Brockman (CFO) |
| Authorized Official Contact | 7075838839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airway Campus 3569 Round Barn Cir Santa Rosa CA 95403-5781 Ph: (707) 303-3600 | Airway Campus 3883 Airway Dr Ste 202 Santa Rosa CA 95403-1671 Ph: (707) 583-8748 |
| NPI Number | 1245739697 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245739697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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