SUN RIVER HEALTH INC NPI 1174947501

NPI Information

NPI: 1174947501
Provider Name: SUN RIVER HEALTH INC

Other Name: THE SHARING COMMUNITY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1 HUDSON ST
THE SHARING COMMUNITY
YONKERS, NY
ZIP 10701
Phone: (914) 963-2626
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SUN RIVER HEALTH INC is a federally qualified health center (fqhc) clinic center in Yonkers, NY. SUN RIVER HEALTH INC NPI is 1174947501. The provider is registered as an organization entity type.
The provider Other Name Is The Sharing Community.

The provider's business location address is:

1 HUDSON ST
THE SHARING COMMUNITY
YONKERS, NY
ZIP 10701-601
Phone: (914) 963-2626
Fax: (914) 964-7307

The provider's authorized official is Adam K. Lipton .
The authorized official title is Vp Info/practice Mgmt Systems and has the following contact phone number (914) 384-2375.

The enumeration date for this NPI number is 2/5/2014 and was last updated on 3/14/2022.

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	251B00000X	Case Management				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	5901200R	NEW YORK	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	00473038	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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