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Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.
44765 WEST HATHAWAY AVE
MARICOPA, AZ85139-0545
 Phone: 520-568-2245
 Fax: 520-568-2316
 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 1881073443
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 05/28/2015
Last updated 09/07/2018 - About 8 years ago
Identifiers
AZ License # OTC0187
AZ Other OTC0187 LICENSE
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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