SUN LIFE FAMILY HEALTH CENTER, INC.; NPI #1689778623

Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.

865 N ARIZOLA RD
CASA GRANDE, AZ 85122-6011

Phone: 520-836-3446
Fax: 520-836-8807
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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

NPI Number 1689778623

LBN Legal business name SUN LIFE FAMILY HEALTH CENTER, INC.

Authorized official TRAVIS ROBINETTE - (CHEIF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/11/2006

Last updated 08/03/2017 - About 9 years ago

Identifiers

Other	ZFQ31813	MEDICARE PTAN
Other	ZFQ31814	MEDICARE PTAN
Other	ZFQ31815	MEDICARE PTAN
Other	ZFQ31820	MEDICARE PTAN
Other	ZFQ61788	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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