National Provider Identifier Database

SUN LIFE FAMILY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC
1856 E FLORENCE BLVD
CASA GRANDE, AZ85122-5303
Phone: 520-381-0380
Fax: 520-836-1826
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for SUN LIFE FAMILY HEALTH CENTER, INC

NPI Number 1417286568
Legal business name
LBN
SUN LIFE FAMILY HEALTH CENTER, INC
Authorized official TRAVIS ROBINETTE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2009
Last updated 08/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC4752
  • AZ Medicaid: AZ13154
  • AZ Other: BL-09-55271 CITY BUSINESS LICENSE
  • AZ Other: 03-1881 MEDICARE
  • AZ Other: ZFQ31815 MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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