Sun Life Family Health Center | |
10032 E Southern Ave Mesa AZ 85209-2759 | |
(480) 351-2850 | |
Not Available |
Full Name | Sun Life Family Health Center |
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Speciality | Clinic/Center |
Location | 10032 E Southern Ave, Mesa, Arizona |
Authorized Official Name and Position | Eddie Estrada (CEO) |
Authorized Official Contact | 5208363446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sun Life Family Health Center Po Box 10097 Casa Grande AZ 85130-0020 Ph: (520) 836-3446 | Sun Life Family Health Center 10032 E Southern Ave Mesa AZ 85209-2759 Ph: (480) 351-2850 |
NPI Number | 1508276940 |
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Provider Enumeration Date | 05/07/2014 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 9335032275 |
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Medicare Enrollment ID | O20140820000244 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508276940 | NPI | - | NPPES |
011702 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC6588 (Arizona) | Primary |
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