Sun Life Family Health Center | |
205 N Stuart Blvd Eloy AZ 85131-2507 | |
(520) 466-7883 | |
(520) 466-3946 |
Full Name | Sun Life Family Health Center |
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Speciality | Clinic/Center |
Location | 205 N Stuart Blvd, Eloy, Arizona |
Authorized Official Name and Position | Travis Robinette (CHIEF EXECUTIVE OFFICER) |
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 205 N Stuart Blvd Eloy AZ 85131-2507 Ph: (520) 466-7883 |
NPI Number | 1588876429 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/03/2017 |
Medicare PECOS PAC ID | 9335032275 |
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Medicare Enrollment ID | O20080311000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588876429 | NPI | - | NPPES |
AZ04288 | Medicaid | AZ | |
ZFQ31813 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 258 (Arizona) | Primary |
Eloy City Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E 6th St, Eloy, AZ 85131 Phone: 520-466-5774 Fax: 520-350-7859 |