SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1508276940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508276940 |
| Entity Type | Organization |
| Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
| Other Organization Name | SUN LIFE FAMILY HEALTH CENTER |
| Practice Address |
2080 W Southern Ave Bldg B10 Apache Junction AZ 85120-7653 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 4803512850 |
| Practice Fax Number | 4803512851 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5208368807 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | TRAVIS ROBINETTE (CEO) |
| 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) |
OTC6588 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 011702 | 05 |
| 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 |
| 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 |
| 1104290022 | Sun Life Family Health Center, Inc. | Pharmacy | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2015-11-16 |
| 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 |
2080 W SOUTHERN AVE BLDG B10 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85120-7653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316546 | Selin Philip | Nurse Practitioner | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120-7653 | 2017-02-26 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
| 1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
| 1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
| 1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
| 1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
| 1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
| 1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
| 1982788899 | Arthur Y Chou | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120 | 2006-10-25 |
| 1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
| 1710075544 | Bashas Inc | Pharmacy | 10715 E Apache Trl, Apache Junction, AZ 85120-3307 | 2006-10-10 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861878423 | Horizon Health and Wellness, Inc. | Clinic/Center | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 | 2015-08-06 |
| 1871991836 | Horizon Health and Wellness, Inc. | Clinic/Center | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2014-12-08 |
| 1235560087 | Horizon Health and Wellness, Inc. | Clinic/Center | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2013-12-04 |
| 1659308989 | Horizon Health and Wellness, Inc. | Clinic/Center | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2006-06-26 |
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| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
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| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
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| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
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| City | APACHE JUNCTION |
| Zip Code | 85120 |
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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.