SUNRISE COMMUNITY HEALTH (NPI# 1053356725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053356725 |
Entity Type | Organization |
Organization Name | SUNRISE COMMUNITY HEALTH |
Other Organization Name | MONFORT FAMILY CLINIC PHARMACY |
Practice Address |
2930 11th Ave Evans CO 80620-1011 |
Practice Telephone | 9703959011 |
Practice Fax Number | 9703959013 |
Mailing Telephone | 9703959011 |
Mailing Fax Number | 9703959013 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2016-10-04 |
Authorized Official Name | CASSANDRA HERRERA (PHARMACY DIRECTOR) |
Authorized Official Telephone | 9703959011 |
Authorized Official Credential | PHARM D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PDO.0560000016 | CO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2147988 | 01 |
Other Name | Type Code |
---|---|
Monfort Family Clinic Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972118073 | Sunrise Community Health | Clinic/Center | 2880 Monroe Ave, Loveland, CO 80538-3274 | 2020-09-15 |
1033762703 | Sunrise Community Health | Clinic/Center | 111 E 26th St, Greeley, CO 80631-7300 | 2019-07-22 |
1811295264 | Sunrise Community Health | Clinic/Center | 1400 37th St, Evans, CO 80620-1906 | 2011-03-09 |
1609923283 | Sunrise Community Health | Pharmacy | 302 3rd St Se # 150, Loveland, CO 80537-6419 | 2007-01-04 |
1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
1679116875 | Sunrise Community Health | Clinic/Center | 111 E 26th St, Greeley, CO 80631-7300 | 2019-10-21 |
1740791011 | Sunrise Community Health | Dentist | 100 N 11th Ave, Greeley, CO 80631-2011 | 2017-10-13 |
1487165759 | Sunrise Community Health | Clinic/Center | 302 3rd St Se Ste 150, Loveland, CO 80537-6419 | 2017-10-13 |
1902317274 | Sunrise Community Health | Dentist | 1400 37th St, Evans, CO 80620-1906 | 2017-10-13 |
1205236072 | Sunrise Community Health | Clinic/Center | 1010 A St, Greeley, CO 80631-2021 | 2014-08-29 |
Street Address |
2930 11TH AVE |
City | EVANS |
State | CO |
Zip Code | 80620-1011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
1376026336 | Amy Renee Brodeur | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2018-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
1760922827 | Shanea Barickman | Home Health Aide | 3222 11th Ave, 313, Evans, CO 80620-1545 | 2017-03-08 |
1013429695 | Malama Ohana LLC | Home Health | 3222 11th Ave Apt 313, Evans, CO 80620-1546 | 2017-11-03 |
1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
Find all providers in zip 80620 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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 |
---|---|---|---|---|
1811328032 | Denver Health and Hospital Authority | Pharmacy | 1001 Yosemite St Ste 100, Denver, CO 80230-6003 | 2013-12-13 |
1932437746 | Peak Vista Community Health Center | Pharmacy | 410 Gold Pass Heights, Colorado Springs, CO 80906 | 2009-12-07 |
1942433198 | Battlement Grocery LLC | Pharmacy | 71 Sipprelle Dr, Parachute, CO 81635-9232 | 2009-09-03 |
1255470795 | Denver Health and Hospital Authority | Pharmacy | 790 Delaware St, Denver, CO 80204-4532 | 2007-02-05 |
1821024258 | The Apothecary | Pharmacy | Wardenburg Health Center, Campus Box 119, Boulder, CO 80309-0001 | 2006-06-25 |
1053357855 | Medical Center of The Rockies | Pharmacy | Boulder Health Center Pharmacy, 5495 East Arapahoe Road Suite 101, Boulder, CO 80303 | 2006-06-21 |
1225017643 | Vail Clinic, Inc. | Pharmacy | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2006-01-13 |
1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
1003436536 | Frda Apothecary | Pharmacy | 6801 W 20th St Unit 208, Greeley, CO 80634-9640 | 2020-04-24 |
1356995716 | Elevate Clinical Pharmacology Services LLC | Pharmacy | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3402 | 2019-07-24 |
Find all providers with the same taxonomy |
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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.