SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1104290022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104290022 |
| Entity Type | Organization |
| Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
| Other Organization Name | SUN LIFE FAMILY HEALTH CENTER |
| Practice Address |
44572 W Bowlin Rd Maricopa AZ 85138-4558 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 5205682245 |
| Practice Fax Number | 5205682316 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5208368807 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | MATTHEW BARTSCH (DIRECTOR OF PHARMACY/AO) |
| Authorized Official Telephone | 5203810383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Y006439 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Sun Life Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881073443 | Sun Life Family Health Center, Inc. | Clinic/Center | 44765 West Hathaway Ave, Maricopa, AZ 85139-0545 | 2015-05-28 |
| 1508276940 | Sun Life Family Health Center, Inc. | Clinic/Center | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120-7653 | 2014-05-07 |
| 1902018856 | Sun Life Family Health Center, Inc. | Clinic/Center | 1870 W American Ave, Oracle, AZ 85623-6015 | 2007-05-04 |
| 1548472475 | Sun Life Family Health Center, Inc. | Family Medicine | 44572 West Bowlin Road, Maricopa, AZ 85139 | 2007-05-04 |
| 1033321989 | Sun Life Family Health Center, Inc. | Clinic/Center | 1284 North Arizona Road, Coolidge, AZ 85228 | 2007-05-04 |
| 1043740566 | Sun Life Family Health Center, Inc. | Pharmacy | 174 W Highway 287, Florence, AZ 85132-8170 | 2017-06-18 |
| 1992166359 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Suite1, Casa Grande, AZ 85122-5457 | 2016-03-14 |
| 1902278252 | Sun Life Family Health Center, Inc. | Clinic/Center | 150 South Main Street, Florence, AZ 85132 | 2015-10-27 |
| 1295159226 | Sun Life Family Health Center, Inc. | Clinical Medical Laboratory | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2014-02-11 |
| 1548690332 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUN LIFE FAMILY HEALTH CENTER, INC | 865 N Arizola Rd, Casa Grande, AZ 85230-6011 |
| Street Address |
44572 W BOWLIN RD |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85138-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365957 | James Michael Underwood | Pediatrics | 44572 W Bowlin Rd, Maricopa, AZ 85138 | 2005-06-13 |
| 1881228567 | Lekha Manu Nair | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2020-03-02 |
| 1538710595 | Ashley Nichole Hanners | Registered Nurse | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2019-09-21 |
| 1396262390 | Bernadette Marie Crovedi | Registered Nurse | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2017-08-29 |
| 1154869063 | Scott Vernile Thompson | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2017-02-10 |
| 1942759279 | Joanne Ngocdung Ho | Physician Assistant | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2016-09-28 |
| 1063887149 | Sun Life Family Health Center Inc | Pharmacy | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2015-12-01 |
| 1386074284 | Pilar Hoffsten | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2013-11-14 |
| 1811247026 | Swagata Chakraborty | Family Medicine | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2012-09-14 |
| 1003839176 | Dana M. Rodriguez | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
| 1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
| Find all providers in zip 85138 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
| 1245357706 | West Kingman Pharmacy, LLC | Pharmacy | 3135 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-03-22 |
| 1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
| 1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
| 1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
| 1376502054 | Sunset Community Health Center Inc | Pharmacy | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-03-21 |
| 1275519241 | El Rio Health Center (southwest) | Pharmacy | 1510 W Commerce Court, Tucson, AZ 85746-6015 | 2005-12-21 |
| 1447242417 | Cigna Health Care of Arizona Inc | Pharmacy | 1920 E Baseline Rd, Tempe, AZ 85283-1511 | 2005-08-16 |
| 1992797930 | Cigna Health Care of Arizona Inc | Pharmacy | 9069 W Thunderbird, Peoria, AZ 85381 | 2005-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.