SUN LIFE FAMILY HEALTH CENTER, INC (NPI# 1396275459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396275459 |
Entity Type | Organization |
Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC |
Other Organization Name | SUN LIFE CENTER FOR WOMEN |
Practice Address |
655 S Dobson Rd Ste 201 Chandler AZ 85224-5669 |
Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
Practice Telephone | 5208363446 |
Mailing Telephone | 5208363446 |
Mailing Fax Number | 5208368807 |
Enumeration Date | 2017-06-12 |
Last Update Date | 2017-09-27 |
Authorized Official Name | TRAVIS ROBINETTE (CHIEF EXUECUTIVE OFFICER) |
Authorized Official Telephone | 5208363446 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sun Life Center for Women | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609186386 | Sun Life Family Health Center, Inc | Pharmacy | 205 N Stuart Blvd, Eloy, AZ 85131-2507 | 2010-10-15 |
1417286568 | Sun Life Family Health Center, Inc | Clinic/Center | 1856 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2009-12-21 |
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 |
655 S DOBSON RD STE 201 |
City | CHANDLER |
State | AZ |
Zip Code | 85224-5669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821151168 | Sandra Kay Kelman | Nurse Practitioner | 655 S Dobson Rd Ste 201, Chandler, AZ 85224-5669 | 2006-12-18 |
1366958241 | Kimberly Dawn Huszti | Registered Nurse | 655 S Dobson Rd Ste 201, Chandler, AZ 85224-5669 | 2017-12-14 |
1487876884 | Aristea Rebecca Karabinas | Obstetrics & Gynecology | 655 S Dobson Rd Ste 201, Chandler, AZ 85224-5669 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
Find all providers in zip 85224 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.