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SUNRISE COMMUNITY HEALTH NPI 1487165759


NPI Information

NPI: 1487165759
Provider Name: SUNRISE COMMUNITY HEALTH

Doing Business As: LOVELAND COMMUNITY HEALTH CENTER DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
302 3RD ST SE STE 150
LOVELAND, CO
ZIP 80537
Phone: (970) 461-8942
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SUNRISE COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Loveland, CO. SUNRISE COMMUNITY HEALTH NPI is 1487165759. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Loveland Community Health Center Dental.

The provider's business location address is:

302 3RD ST SE STE 150
LOVELAND, CO
ZIP 80537-419
Phone: (970) 461-8942
Fax: (970) 292-1538

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 enumeration date for this NPI number is 10/13/2017 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
11223G0001XDentistGeneral PracticeCOLORADONo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)COLORADOYes

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
11487165759MEDICAIDCOLORADO

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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