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SUNRISE COMMUNITY HEALTH NPI 1902005382


NPI Information

NPI: 1902005382
Provider Name: SUNRISE COMMUNITY HEALTH

Doing Business As: LOVELAND COMMUNITY HEALTH CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 06D0928745

Address:
302 3RD ST SE STE 150
LOVELAND, CO
ZIP 80537
Phone: (970) 669-4855
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SUNRISE COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Loveland, CO. SUNRISE COMMUNITY HEALTH NPI is 1902005382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Loveland Community Health Clinic.

The provider's business location address is:

302 3RD ST SE STE 150
LOVELAND, CO
ZIP 80537-419
Phone: (970) 669-4855
Fax: (970) 669-7389

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 06D0928745 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2007 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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)COLORADOYes

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
105638895MEDICAIDCOLORADO

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

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