| Sun River Health Inc. | |
|
4377 Bronx Blvd Bronx NY 10466-1397 | |
| (718) 325-0700 | |
| (718) 684-5266 |
| Full Name | Sun River Health Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4377 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Adam Lipton (VP PRACTICE MANAGEMENT) |
| Authorized Official Contact | 9143842375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun River Health Inc. 4377 Bronx Blvd Bronx NY 10466-1397 Ph: (718) 325-0700 | Sun River Health Inc. 4377 Bronx Blvd Bronx NY 10466-1397 Ph: (718) 325-0700 |
| NPI Number | 1164133930 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164133930 | NPI | - | NPPES |
| 00473038 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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