Sun Life Family Health Center | |
23 S Mcnab Pkwy San Manuel AZ 85631-1156 | |
(520) 385-2234 | |
(520) 381-3209 |
Full Name | Sun Life Family Health Center |
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Speciality | Clinic/Center |
Location | 23 S Mcnab Pkwy, San Manuel, Arizona |
Authorized Official Name and Position | Travis Robinette (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 23 S Mcnab Pkwy San Manuel AZ 85631-1156 Ph: (520) 385-2234 |
NPI Number | 1467666206 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/03/2017 |
Medicare PECOS PAC ID | 9335032275 |
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Medicare Enrollment ID | O20080516000425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467666206 | NPI | - | NPPES |
ZFQ61788 | Other | MEDICARE | |
AZ04943 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC-357 (Arizona) | Primary |