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Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.
10032 E SOUTHERN AVE
MESA, AZ85209-2759
 Phone: 480-351-2850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1508276940
LBN Legal business name SUN LIFE FAMILY HEALTH CENTER, INC.
Authorized official EDDIE ESTRADA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2014
Last updated 01/27/2023 - About 3 years ago
Identifiers
AZ License # OTC6588
AZ Medicaid 011702
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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