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SUN LIFE FAMILY HEALTH CENTER INC. NPI 1033321989


NPI Information

NPI: 1033321989
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: 03D0897520

Address:
1284 NORTH ARIZONA ROAD
COOLIDGE, AZ
ZIP 85228
Phone: (520) 723-9131
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SUN LIFE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Coolidge, AZ. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1033321989. 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:

1284 NORTH ARIZONA ROAD
COOLIDGE, AZ
ZIP 85228
Phone: (520) 723-9131
Fax: (520) 723-7974

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

The CLIA number assigned to this NPI record is 03D0897520 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)920ARIZONAYes

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
1FQ31820MEDICARE OSCAR/CERTIFICATIONARIZONA
2031820MEDICARE OSCAR/CERTIFICATIONARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.