SUN LIFE FAMILY HEALTH CENTER INC. NPI 1588876429

NPI Information

SUN LIFE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Eloy, AZ. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1588876429. 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:

205 N STUART BLVD
ELOY, AZ
ZIP 85131-507
Phone: (520) 466-7883
Fax: (520) 466-3946

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 03D0057440 - 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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