| Sun Life Family Health Center, Inc. | |
|
44572 West Bowlin Road Maricopa AZ 85139 | |
| (520) 568-2245 | |
| (520) 568-2316 |
| Full Name | Sun Life Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 44572 West Bowlin Road, Maricopa, 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 |
|---|---|
| Sun Life Family Health Center, Inc. Po Box 10097 Casa Grande AZ 85130-0020 Ph: (520) 836-3446 | Sun Life Family Health Center, Inc. 44572 West Bowlin Road Maricopa AZ 85139 Ph: (520) 568-2245 |
| NPI Number | 1548472475 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 05/26/2020 |
| Medicare PECOS PAC ID | 9335032275 |
|---|---|
| Medicare Enrollment ID | O20080507000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548472475 | NPI | - | NPPES |
| ZFQ31814 | Other | MEDICARE PTAN | |
| AZ04475 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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