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SUN LIFE FAMILY HEALTH CENTER INC. NPI 1902278252


NPI Information

NPI: 1902278252
Provider Name: SUN LIFE FAMILY HEALTH CENTER, INC.

Doing Business As: SUN LIFE FAMILY HEALTH CENTER-FLORENCE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D2102969

Address:
174 W HIGHWAY 287
FLORENCE, AZ
ZIP 85132
Phone: (520) 868-5811
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SUN LIFE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Florence, AZ. SUN LIFE FAMILY HEALTH CENTER, INC. NPI is 1902278252. The provider is registered as an organization entity type.
The provider Is Doing Business As Sun Life Family Health Center-florence.

The provider's business location address is:

174 W HIGHWAY 287
FLORENCE, AZ
ZIP 85132
Phone: (520) 868-5811
Fax: (520) 868-1223

The provider's authorized official is Travis J 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 03D2102969 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 12/8/2021.


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)Yes

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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