SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1043740566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043740566 |
Entity Type | Organization |
Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
Other Organization Name | SUN LIFE FAMILY HEALTH CENTER-FLORENCE |
Practice Address |
174 W Highway 287 Florence AZ 85132-8170 |
Mailing Address |
Po Box 10097 Casa Grande AZ 85130 |
Practice Telephone | 5203507590 |
Practice Fax Number | 5203813237 |
Mailing Telephone | 5203507590 |
Mailing Fax Number | 5203813237 |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-08-03 |
Authorized Official Name | MATTHEW BARTSCH (DIRECTOR OF PHARMACY/AO) |
Authorized Official Telephone | 5203810383 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y007264 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2169819 | 01 |
Other Name | Type Code |
---|---|
Sun Life Family Health Center-Florence | 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 |
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 |
174 W HIGHWAY 287 |
City | FLORENCE |
State | AZ |
Zip Code | 85132-8170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942395314 | Patrice M Churchill | Family Medicine | 174 W Highway 287, Florence, AZ 85132 | 2006-10-03 |
1922644533 | Susan Packer | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2019-11-19 |
1528576907 | Paula J Pieratt | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2018-01-19 |
1376052779 | Kenneth Gene Leutz | Pharmacist | 174 W Highway 287, Florence, AZ 85132 | 2017-09-28 |
1750735023 | Samantha Currier | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2016-04-22 |
1821352410 | Debra A Rodgers Herington | Registered Nurse | 174 W Highway 287, Florence, AZ 85132 | 2012-06-27 |
1740594522 | Betty Jean Hahn | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2010-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
Find all providers in zip 85132 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568934677 | Well Center Pharmacy LLC | Pharmacy | 605 S Irby St, Florence, SC 29501-5211 | 2018-12-31 |
1609324045 | Megs Pharmacy Inc | Pharmacy | 1010 Olive Ave., Florence, WI 54121 | 2016-09-14 |
1336504695 | Walgreen Co . | Pharmacy | 805 Pamplico Hwy Ste B130, Florence, SC 29505-6049 | 2015-12-30 |
1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
1003233925 | Hartsville Drug Co. Inc. | Pharmacy | 1304 Celebration Blvd, Florence, SC 29501-5495 | 2014-03-28 |
1255758561 | Northeast Pharmaceuticals Inc | Pharmacy | 4131 Helton Dr, Florence, AL 35630-6207 | 2014-03-25 |
1750623054 | Wal-mart Stores East Lp | Pharmacy | 1410 Florence Blvd, Florence, AL 35630-2700 | 2013-03-25 |
1861635922 | Hi-school Pharmacy of Oregon Inc | Pharmacy | 2935 Hwy 101, Florence, OR 97439-9754 | 2009-04-18 |
1407983984 | Pharcraft Discount Pharmacy and Craft Supply | Pharmacy | 211 E, Main St, Florence, TX 76527-0626 | 2007-02-28 |
1386785996 | Pee Dee Pharmacy Inc | Pharmacy | 123 S Dargan St, Florence, SC 29506-2533 | 2007-02-08 |
Find all providers in FLORENCE |
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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.