SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1902018856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902018856 |
| Entity Type | Organization |
| Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
| Other Organization Name | SUN LIFE FAMILY HEALTH CENTER |
| Practice Address |
1870 W American Ave Oracle AZ 85623-6015 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 5208962092 |
| Practice Fax Number | 5208962449 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5208368807 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | TRAVIS ROBINETTE (CHIEF EXECUTIVE OFFICER) |
| 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) |
OTC-3743 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE OSCAR/CERTIFICATION | ZFQ61788 | 01 |
| MEDICARE | 031871 | 01 | |
| MEDICARE | ZFQ61788 | 01 |
| 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 |
| 1508276940 | Sun Life Family Health Center, Inc. | Clinic/Center | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120-7653 | 2014-05-07 |
| 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 |
1870 W AMERICAN AVE |
| City | ORACLE |
| State | AZ |
| Zip Code | 85623-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558794149 | Pinal County Arizona | Public Health or Welfare | 1870 W American Ave, Oracle, AZ 85623-6015 | 2013-08-19 |
| 1447446471 | Kimberly Taylor | Nurse Practitioner | 1870 W American Ave, Oracle, AZ 85623-6015 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760927412 | Mimi M Kennedy-ross | Counselor | Dodge & Mt Lemmon Rd, Oracle, AZ 85623 | 2017-01-04 |
| 1306158167 | Jocelyn Alyssa Rechichar Muzzin | Social Worker | 980 E Mt. Lemmon Rd, Oracle, AZ 85623 | 2010-07-09 |
| 1447375993 | Janet S Patton-martinez | Counselor | 980 E. Mt. Lemmon Road, Oracle, AZ 85623 | 2007-03-20 |
| 1033247788 | Oracle Elementary School District | Local Education Agency (LEA) | 725 N Carpenter, Oracle, AZ 85623 | 2007-03-02 |
| 1619002920 | Sarah L Daffron | Counselor | 980 E. Mt Lemmon Road, Oracle, AZ 85623 | 2007-02-23 |
| 1912047507 | Helen E Nack | Counselor | 980 E Mt Lemon Road, Oracle, AZ 85623 | 2007-02-06 |
| 1699833624 | Philip Nice | Counselor | 980 E. Mt. Lemon Road, Oracle, AZ 85623 | 2006-12-04 |
| 1134291065 | William Bunch | Dentist | 710 East Am Ave, Oracle, AZ 85623 | 2006-11-15 |
| 1659458750 | Horizon Health & Wellness, Inc. | Community/Behavioral Health | 980 E Mt Lemmon Road, Oracle, AZ 85623 | 2006-11-01 |
| 1174523252 | Karen Dee Lombardi | Social Worker | 381 East American Ave, Oracle, AZ 85623 | 2005-07-29 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.