SUN LIFE FAMILY HEALTH CENTER, INC. (NPI# 1902278252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902278252 |
| Entity Type | Organization |
| Organization Name | SUN LIFE FAMILY HEALTH CENTER, INC. |
| Other Organization Name | SUN LIFE FAMILY HEALTH CENTER-FLORENCE |
| Practice Address |
150 South Main Street Florence AZ 85132 |
| 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 | 2015-10-27 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 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 |
150 SOUTH MAIN STREET |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941008 | Robin F Edwards | Family Medicine | 150 South Main Street, Suite 101, Florence, AZ 85132 | 2005-06-09 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.