SUNSET COMMUNITY HEALTH CENTER INC; NPI #1962507376

Contact Information

SUNSET COMMUNITY HEALTH CENTER INC

115 N SOMERTON AVE
SOMERTON, AZ 85350

Phone: 928-627-2051
Fax: 928-627-3857
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for SUNSET COMMUNITY HEALTH CENTER INC

NPI Number 1962507376

LBN Legal business name SUNSET COMMUNITY HEALTH CENTER INC

Authorized official DAVID ROGERS - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/13/2006

Last updated 10/09/2020 - About 6 years ago

Identifiers

AZ	License #	OTC0046
AZ	Medicaid	433061
AZ	Other	OTC0046	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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