Provider Demographics
NPI:1699941914
Name:BRIDGES, PREGNANCY CLINIC AND CARE CENTER, INC.
Entity type:Organization
Organization Name:BRIDGES, PREGNANCY CLINIC AND CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNINGSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:707-575-9000
Mailing Address - Street 1:2447 SUMMERFIELD RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7815
Mailing Address - Country:US
Mailing Address - Phone:707-575-9000
Mailing Address - Fax:707-545-6076
Practice Address - Street 1:2447 SUMMERFIELD RD BLDG B
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7815
Practice Address - Country:US
Practice Address - Phone:707-575-9000
Practice Address - Fax:707-545-6076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0093600OtherMEDI-CAL GROUP NUMBER