SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1992166359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992166359 |
Entity Type | Organization |
Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
Other Organization Name | SUN LIFE PEDIATRIC DENTISTRY |
Practice Address |
1864 E Florence Blvd Suite1 Casa Grande AZ 85122-5457 |
Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
Practice Telephone | 5208363446 |
Practice Fax Number | 5208368807 |
Mailing Telephone | 5208363446 |
Mailing Fax Number | 5208368807 |
Enumeration Date | 2016-03-14 |
Last Update Date | 2017-08-03 |
Authorized Official Name | TRAVIS J ROBINETTE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5208363446 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
BL-16-58324 | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sun Life Pediatric Dentistry | 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 |
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 |
1864 E FLORENCE BLVD SUITE1 |
City | CASA GRANDE |
State | AZ |
Zip Code | 85122-5457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548248776 | Joseph Terminel Edwards | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2006-01-06 |
1669839924 | Maryam Mahmood | Dentist | 1864 E Florence Blvd, Suite 1, Casa Grande, AZ 85122-5457 | 2016-01-18 |
1548690332 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2013-11-15 |
1164708350 | Molar Magic, LLC | Dentist | 1864 E Florence Blvd, Suite 1, Casa Grande, AZ 85122-5457 | 2011-11-01 |
1053626705 | Ismail Olusayo Oshogwemoh | Obstetrics & Gynecology | 1864 E Florence Blvd, Suite 2, Casa Grande, AZ 85122-5457 | 2010-08-18 |
1891010658 | Jonathan Randall Willms | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2010-04-05 |
1477888642 | Rightway Healthcare LLC | Family Medicine | 1864 E Florence Blvd, Suite 2, Casa Grande, AZ 85122 | 2009-10-06 |
1992935894 | Virginia A Savala | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122 | 2009-07-26 |
1386782472 | Eddie Estrada | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122 | 2007-02-02 |
1104840909 | Thien Chi Pham | Dentist | 1864 E Florence Blvd, Suite #5, Casa Grande, AZ 85222 | 2006-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
Find all providers in zip 85122 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386021830 | Ehrbright and Hankel Dds, Pllc | Clinic/Center | 1895 N. Trekell Rd, Suite 1, Casa Grande, AZ 85122 | 2015-05-05 |
1851569693 | Casa Grande Oral and Maxillofacial Surgery, P.C. | Clinic/Center | 1876 E Sabin Dr Ste 6, Casa Grande, AZ 85122-6197 | 2008-02-14 |
1235188574 | D Michael Dick, P.C. | Clinic/Center | 721 N Olive Ave, Casa Grande, AZ 85222-4034 | 2006-05-06 |
1558995951 | Pediatric Dentistry of Casa Grande | Clinic/Center | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2020-02-25 |
1750590824 | Arizona Dental Pavillion | Clinic/Center | 1677 E Florence Blvd, # 24, Casa Grande, AZ 85222 | 2007-05-22 |
1720156995 | Robert F Hankel Jr Dds Ltd | Clinic/Center | 1895 N Trekell Rd, Suite #1, Casa Grande, AZ 85122-1774 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85122 |
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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.