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SUNRISE COMMUNITY HEALTH NPI 1205236072


NPI Information

NPI: 1205236072
Provider Name: SUNRISE COMMUNITY HEALTH

Doing Business As: SUNRISE ADELANTE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 06D2084736

Address:
1010 A ST
GREELEY, CO
ZIP 80631
Phone: (970) 313-0400
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SUNRISE COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Greeley, CO. SUNRISE COMMUNITY HEALTH NPI is 1205236072. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Adelante Clinic.

The provider's business location address is:

1010 A ST
GREELEY, CO
ZIP 80631-021
Phone: (970) 313-0400
Fax: (970) 313-0404

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 06D2084736 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/29/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149227769MEDICAIDCOLORADO

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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