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Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.
205 N STUART BLVD
ELOY, AZ85131-2507
 Phone: 520-466-7883
 Fax: 520-466-3946
 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 Number 1588876429
LBN Legal business name SUN LIFE FAMILY HEALTH CENTER, INC.
Authorized official TRAVIS ROBINETTE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/03/2017 - About 9 years ago
Identifiers
AZ License # 258
AZ Medicaid AZ04288
Other ZFQ31813 MEDICARE PTAN
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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