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SUN LIFE FAMILY HEALTH CENTER INC. NPI 1902018856


NPI Information

NPI: 1902018856
Provider Name: SUN LIFE FAMILY HEALTH CENTER, INC.

Doing Business As: SUN LIFE FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D1075346

Address:
1040 W AMERICAN AVE
ORACLE, AZ
ZIP 85623
Phone: (520) 896-2092
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SUN LIFE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Oracle, AZ. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1902018856. 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:

1040 W AMERICAN AVE
ORACLE, AZ
ZIP 85623-089
Phone: (520) 896-2092
Fax: (520) 896-2449

The provider's authorized official is Kate Turvin .
The authorized official title is Director Of Finance and has the following contact phone number (520) 381-0383.

The CLIA number assigned to this NPI record is 03D1075346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 12/2/2021.


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)OTC-3743ARIZONAYes

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
1ZFQ61788OTHERARIZONAMEDICARE OSCAR/CERTIFICATION
2031871OTHERMEDICARE
3ZFQ61788OTHERMEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.