SUNSET COMMUNITY HEALTH CENTER INC (NPI# 1376502054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376502054 |
Entity Type | Organization |
Organization Name | SUNSET COMMUNITY HEALTH CENTER INC |
Other Organization Name | SUNSET SAN LUIS PHARMACY |
Practice Address |
815 E Cesar Chavez Blvd San Luis AZ 85349 |
Mailing Address |
2060 W 24th St Yuma AZ 85364-6123 |
Practice Telephone | 9283735757 |
Practice Fax Number | 9286272768 |
Mailing Telephone | 9288198941 |
Mailing Fax Number | 9283766606 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2020-10-12 |
Authorized Official Name | DAVID ROGERS (CEO) |
Authorized Official Telephone | 9288198999 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
4424 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 083900 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0353348 | 01 |
Other Name | Type Code |
---|---|
SUNSET SAN LUIS PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245344316 | Sunset Community Health Center Inc | General Practice | 10425 Williams Street, Wellton, AZ 85356 | 2006-08-18 |
1396240149 | Sunset Community Health Center Inc | Pharmacy | 675 S Avenue B, Yuma, AZ 85364-2749 | 2018-03-26 |
1295244853 | Sunset Community Health Center Inc | Family Medicine | 1201 W 12th St, Yuma, AZ 85364-3605 | 2017-09-27 |
1366812166 | Sunset Community Health Center Inc | Clinic/Center | 675 S Avenue B, Yuma, AZ 85364 | 2015-10-06 |
1962507376 | Sunset Community Health Center Inc | General Practice | 115 N Somerton Ave, Somerton, AZ 85350 | 2006-09-13 |
1043324932 | Sunset Community Health Center Inc | General Practice | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-08-18 |
1063433720 | Sunset Community Health Center Inc | General Practice | 2060 W 24th St, Yuma, AZ 85364-6123 | 2006-07-21 |
1497774780 | Sunset Community Health Center Inc | Pharmacy | 115 N Somerton Ave, Somerton, AZ 85350 | 2006-07-19 |
Street Address |
815 E CESAR CHAVEZ BLVD |
City | SAN LUIS |
State | AZ |
Zip Code | 85349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019275 | Jeffrey Mercado | Pharmacist | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2020-07-01 |
1205481306 | Judith Gomez | Counselor | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2019-08-06 |
1043324932 | Sunset Community Health Center Inc | General Practice | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
Find all providers in zip 85349 |
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 |
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 |
1528678000 | Sun Life Family Health Center Inc | Pharmacy | 1040 W American Ave, Oracle, AZ 85623-6089 | 2020-08-09 |
Find all providers with the same taxonomy |
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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.