Healthcare Provider Details

I. General information

NPI: 1265457980
Provider Name (Legal Business Name): SONOMA COUNTY INDIAN HEALTH PROJECT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 STONY POINT RD
SANTA ROSA CA
95401-4122
US

IV. Provider business mailing address

144 STONY POINT RD
SANTA ROSA CA
95401-4122
US

V. Phone/Fax

Practice location:
  • Phone: 707-521-4630
  • Fax: 707-526-1016
Mailing address:
  • Phone: 707-521-4630
  • Fax: 707-526-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number110000047
License Number StateCA

VIII. Authorized Official

Name: BETTY J ARTERBERRY
Title or Position: CEO
Credential:
Phone: 707-521-4660