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SUN LIFE FAMILY HEALTH CENTER INC. NPI 1689778623


NPI Information

NPI: 1689778623
Provider Name: SUN LIFE FAMILY HEALTH CENTER, INC.

Doing Business As: SUN LIFE FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D1106573

Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-3446
Get Directions

SUN LIFE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Casa Grande, AZ. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1689778623. The provider is registered as an organization entity type.
The provider Is Doing Business As Sun Life Family Health Center.

The provider's business location address is:

865 N ARIZOLA RD
CASA GRANDE, AZ
ZIP 85122-011
Phone: (520) 836-3446
Fax: (520) 836-8807

The provider's authorized official is Travis Robinette .
The authorized official title is Cheif Executive Officer and has the following contact phone number (520) 836-3446.

The CLIA number assigned to this NPI record is 03D1106573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/3/2017.


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
1261QF0400XClinic/CenterFederally 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
1ZFQ61788OTHERMEDICARE PTAN
2ZFQ31820OTHERMEDICARE PTAN
3ZFQ31814OTHERMEDICARE PTAN
4ZFQ31815OTHERMEDICARE PTAN
5ZFQ31813OTHERMEDICARE PTAN

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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