Sunrise Clinics | |
117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 | |
(575) 472-4311 | |
(877) 651-0289 |
Full Name | Sunrise Clinics |
---|---|
Speciality | Family Medicine |
Location | 117 Camino De Vida Ste 300, Santa Rosa, New Mexico |
Authorized Official Name and Position | Randal W Brown (CEO) |
Authorized Official Contact | 5754724311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunrise Clinics 117 Camino De Vida Santa Rosa NM 88435-2267 Ph: (575) 472-4311 | Sunrise Clinics 117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 Ph: (575) 472-4311 |
NPI Number | 1164055927 |
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Provider Enumeration Date | 02/19/2020 |
Last Update Date | 08/20/2024 |
Certification Date | 08/20/2024 |
Medicare PECOS PAC ID | 6800226374 |
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Medicare Enrollment ID | O20200423002808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164055927 | NPI | - | NPPES |
93778562 | Medicaid | NM |
Provider Name | Randal W Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376636159 PECOS PAC ID: 5991693525 Enrollment ID: I20060116000168 |
Provider Name | Antje Postl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639255300 PECOS PAC ID: 4587799473 Enrollment ID: I20100317000570 |
Provider Name | Aileen C Swope |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306132899 PECOS PAC ID: 2264692748 Enrollment ID: I20120320000590 |
Provider Name | Haily Wallace |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679839534 PECOS PAC ID: 7719299338 Enrollment ID: I20150709002052 |
Provider Name | Mary M Kenyon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366824963 PECOS PAC ID: 6406154913 Enrollment ID: I20160418001026 |
Provider Name | Chelsea A Gutierrez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891117552 PECOS PAC ID: 7618267469 Enrollment ID: I20160607000461 |
Provider Name | Laura Mardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720432271 PECOS PAC ID: 2365733318 Enrollment ID: I20160622000129 |
Provider Name | James Gonzales |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730507955 PECOS PAC ID: 3476850116 Enrollment ID: I20170405002161 |
Provider Name | Jesus A Tafoya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992118145 PECOS PAC ID: 5395034946 Enrollment ID: I20170819000139 |
Provider Name | Sally A Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861981193 PECOS PAC ID: 5193076172 Enrollment ID: I20181002001068 |
Provider Name | Pamela M Ammons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679138671 PECOS PAC ID: 9739414020 Enrollment ID: I20190709001393 |
Provider Name | Senora L Campos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225695018 PECOS PAC ID: 4385979269 Enrollment ID: I20190715002430 |
Provider Name | Michael Dunkle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306389846 PECOS PAC ID: 5991080079 Enrollment ID: I20190722001471 |
Provider Name | Amber Nolen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548815897 PECOS PAC ID: 6103258116 Enrollment ID: I20191113001203 |
Provider Name | Jennifer L Fryman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417020900 PECOS PAC ID: 3779581004 Enrollment ID: I20201123002684 |
Provider Name | Jenny B Nation |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780270280 PECOS PAC ID: 3971917311 Enrollment ID: I20210127000406 |
Provider Name | Timothy W Overton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134626070 PECOS PAC ID: 1658629647 Enrollment ID: I20210610003537 |
Provider Name | David A Phillips |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720576887 PECOS PAC ID: 7810245859 Enrollment ID: I20210802001763 |
Provider Name | Clarissa M Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740949049 PECOS PAC ID: 3375936305 Enrollment ID: I20220215000791 |
Provider Name | Chanda M Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356009765 PECOS PAC ID: 0840683736 Enrollment ID: I20220217002062 |
Provider Name | Jane P Montano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407508922 PECOS PAC ID: 5496142432 Enrollment ID: I20220421002458 |
Provider Name | Krista N Mericle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023551363 PECOS PAC ID: 6709244593 Enrollment ID: I20230627001776 |
Provider Name | Adriana Barron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891490835 PECOS PAC ID: 9133573561 Enrollment ID: I20231003003309 |
Provider Name | Monica T Villa |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447894449 PECOS PAC ID: 1456706852 Enrollment ID: I20231004002157 |
Provider Name | Amerette M Jeffrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427838309 PECOS PAC ID: 8022465368 Enrollment ID: I20231108002885 |
Provider Name | Lyrisa Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275312191 PECOS PAC ID: 5395193049 Enrollment ID: I20231120000444 |
Provider Name | Erika Sena |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1669883104 PECOS PAC ID: 0042661241 Enrollment ID: I20240112000483 |
Sunrise Clinics - Santa Rosa High Sbhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S 3rd St, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 | |
Teambuilders Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 |