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SUNRISE HEALTH CARE PC NPI 1164662052


NPI Information

NPI: 1164662052
Provider Name: SUNRISE HEALTH CARE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D1020189

Address:
4020 PALMER PARK BLVD
SUITE 101B
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 577-9977
Get Directions

SUNRISE HEALTH CARE, PC is a family medicine in Colorado Springs, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUNRISE HEALTH CARE, PC NPI is 1164662052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4020 PALMER PARK BLVD
SUITE 101B
COLORADO SPRINGS, CO
ZIP 80909-433
Phone: (719) 577-9977
Fax: (719) 577-9911

The provider's authorized official is Grace N Nweke .
The authorized official title is President and has the following contact phone number (719) 577-9977.

The CLIA number assigned to this NPI record is 06D1020189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 3/14/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine34753COLORADONo
2207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
174575724MEDICAIDCOLORADO

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: 4/28/2024

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