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SUNSET COMMUNITY HEALTH CENTER INC NPI 1962507376


NPI Information

NPI: 1962507376
Provider Name: SUNSET COMMUNITY HEALTH CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D0874319

Address:
115 N SOMERTON AVE
SOMERTON, AZ
ZIP 85350
Phone: (928) 627-2051
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SUNSET COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Somerton, AZ. SUNSET COMMUNITY HEALTH CENTER INC NPI is 1962507376. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 N SOMERTON AVE
SOMERTON, AZ
ZIP 85350
Phone: (928) 627-2051
Fax: (928) 627-3857

The provider's authorized official is David Rogers .
The authorized official title is Executive Director and has the following contact phone number (928) 819-8999.

The CLIA number assigned to this NPI record is 03D0874319 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2006 and was last updated on 10/9/2020.


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
1208D00000XGeneral PracticeOTC0046ARIZONANo
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
1433061MEDICAIDARIZONA
2OTC0046OTHERARIZONALICENSE

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: 11/14/2023

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.