SUNRISE CLINICS NPI 1407639669

NPI Information

NPI: 1407639669
Provider Name: SUNRISE CLINICS

Doing Business As: SUNRISE CLINICS - WAGON MOUND SBHC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
300 PARKER AVE
WAGON MOUND, NM
ZIP 87752
Phone: (575) 472-4311
Get Directions

SUNRISE CLINICS is a federally qualified health center (fqhc) clinic center in Wagon Mound, NM. SUNRISE CLINICS NPI is 1407639669. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Clinics - Wagon Mound Sbhc.

The provider's business location address is:

300 PARKER AVE
WAGON MOUND, NM
ZIP 87752
Phone: (575) 472-4311
Fax: (877) 651-0289

The provider's authorized official is Jessica Sanchez .
The authorized official title is Director Of Hr and has the following contact phone number (575) 472-4311.

The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/16/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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
1	93778562	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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