SUNRISE COMMUNITY HEALTH NPI 1811295264

NPI Information

NPI: 1811295264
Provider Name: SUNRISE COMMUNITY HEALTH

Doing Business As: KID'S CARE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 06D2094443

Address:
1400 37TH ST
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Get Directions

SUNRISE COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Evans, CO. SUNRISE COMMUNITY HEALTH NPI is 1811295264. The provider is registered as an organization entity type.
The provider Is Doing Business As Kid's Care Clinic.

The provider's business location address is:

1400 37TH ST
EVANS, CO
ZIP 80620-906
Phone: (970) 353-9403

The provider's authorized official is Cathy Wolff .
The authorized official title is Cfo and has the following contact phone number (970) 346-2546.

The CLIA number assigned to this NPI record is 06D2094443 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2011 and was last updated on 5/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16386761	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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