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SUNRISE COMMUNITY HEALTH NPI 1902317274


NPI Information

NPI: 1902317274
Provider Name: SUNRISE COMMUNITY HEALTH

Doing Business As: KIDS CARE DENTAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1400 37TH ST
EVANS, CO
ZIP 80620
Phone: (970) 348-1112
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SUNRISE COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Evans, CO. SUNRISE COMMUNITY HEALTH NPI is 1902317274. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids Care Dental Clinic.

The provider's business location address is:

1400 37TH ST
EVANS, CO
ZIP 80620-906
Phone: (970) 348-1112
Fax: (970) 348-1134

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
11223P0221XDentistPediatric DentistryCOLORADONo
2261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11902317274MEDICAIDCOLORADO

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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