SUN LIFE FAMILY HEALTH CENTER, INC.


Address: 44765 West Hathaway Ave, Maricopa, AZ 85139-0545
Phone: 5205682245

SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1881073443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881073443
Entity Type Organization
Organization Name SUN LIFE FAMILY HEALTH CENTER, INC.
Practice Address 44765 West Hathaway Ave
Maricopa
AZ 85139-0545
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 2015-05-28
Last Update Date 2018-09-07
Authorized Official Name TRAVIS ROBINETTE (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5208363446
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
OTC0187 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ LICENSE OTC0187 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Other Data Sources

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

Office Location

Street Address 44765 WEST HATHAWAY AVE
City MARICOPA
State AZ
Zip Code 85139-0545

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1043732431 The Hands of Grace Case Management 44570 W Sedona Trl, Maricopa, AZ 85139 2017-07-07
1215466636 Dustin Jeremy Sowards Naturopath 18495 N Miller Way, Maricopa, AZ 85139 2017-06-08
1871029090 Carolyn Wanyama Nursing Home Administrator 44880 W Portabello Road, Maricopa, AZ 85139 2017-05-08
1740638758 Melissa Marie Trulson Dentist 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 2016-05-31
1093189805 Community Partners Integrated Healthcare, Inc. Clinic/Center 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 2015-11-17
1134523079 Shadale Gillespie Technician 45565 W. Rainbow Dr., Maricopa, AZ 85139 2014-10-21
1578964516 Community Partners Integrated Healthcare, Inc. Clinic/Center 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 2014-09-09
1104238716 Jared Kenney Dentist 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 2014-05-30
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1821582529 Chiricahua Community Health Centers, Inc Clinic/Center 335 South Ocotillo Avenue, Benson, AZ 85602 2018-06-18
1881198992 Valle Del Sol, Inc. Clinic/Center 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 2018-03-22
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Competitor

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City MARICOPA
Zip Code 85139

Improve Information

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Dataset Information

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.

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