Sun Life Family Health Center | |
110 Main Street Mammoth AZ 85623 | |
(520) 487-0322 | |
(520) 487-2463 |
Full Name | Sun Life Family Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 110 Main Street, Mammoth, Arizona |
Authorized Official Name and Position | Travis Robinette (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5208363446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 110 Main Street Mammoth AZ 85623 Ph: (520) 487-0322 |
NPI Number | 1184838930 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/03/2017 |
Identifier | Type | State | Issuer |
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1184838930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC-3754 (Arizona) | Primary |