AIRWAY CAMPUS
NPI 1245739697
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Rosa, CA

Q: What is Santa Rosa Community Health Center's NPI number?

The NPI number for Santa Rosa Community Health Center is 1245739697. It was assigned to this organization in the NPPES registry on February 12, 2018. The provider is doing business as Airway Campus.

Q: What is Santa Rosa Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 12, 2018CLIA 05D0911901 · Microscopy

3883 AIRWAY DR STE 202, SANTA ROSA, CA 95403(707) 583-8748(707) 236-6919 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Airway Campus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AIRWAY CAMPUS (NPI 1245739697) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Rosa, California and active in the NPI registry since February 2018. The organization holds a CLIA Microscopy certificate valid through April 10, 2028 and lists Harold Brockman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245739697

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSANTA ROSA COMMUNITY HEALTH CENTER

Location Address3883 AIRWAY DR STE 202Santa Rosa, CA 95403-1671

Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600 · Fax (707) 396-5155

Phone(707) 583-8748

Fax(707) 236-6919

Organization SubpartNo

Authorized OfficialHarold BrockmanCfo · (707) 583-8839

Enumeration DateFebruary 12, 2018

✔ NPI 1245739697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

3883 AIRWAY DR STE 202, Santa Rosa, CA 95403

Open in Google Maps ↗

Other Names 1

Doing Business AsAirway Campus

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0911901

Santa Rosa Community Health Centers · Santa Rosa, CA

Active · expires Apr 10, 2028

CLIA Number05D0911901

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorMarie Mulligan

Laboratory Phone(707) 303-3600

Laboratory LocationSanta Rosa Community Health Centers301 6th St Ste 214, Santa Rosa, CA 95401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BRAUNREUTHER MD

Family Medicine