SUN LIFE FAMILY HEALTH CENTER, INC.; NPI #1902018856

Contact Information

SUN LIFE FAMILY HEALTH CENTER, INC.

1040 W AMERICAN AVE
ORACLE, AZ 85623-6089

Phone: 520-896-2092
Fax: 520-896-2449
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 1902018856

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

Authorized official KATE TURVIN - (DIRECTOR OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2007

Last updated 12/02/2021 - About 5 years ago

Identifiers

AZ	License #	OTC-3743
	Other	031871	MEDICARE
	Other	ZFQ61788	MEDICARE
AZ	Other	ZFQ61788	MEDICARE OSCAR/CERTIFICATION

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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