| Sunrise Health Care, Pc | |
|
4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 | |
| (719) 577-9977 | |
| (719) 577-9911 |
| Full Name | Sunrise Health Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4020 Palmer Park Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Grace N Nweke (PRESIDENT) |
| Authorized Official Contact | 7195779977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Health Care, Pc 4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 Ph: (719) 577-9977 | Sunrise Health Care, Pc 4020 Palmer Park Blvd Suite 101b Colorado Springs CO 80909-3433 Ph: (719) 577-9977 |
| NPI Number | 1164662052 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 2062561186 |
|---|---|
| Medicare Enrollment ID | O20090520000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164662052 | NPI | - | NPPES |
| 74575724 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | 34753 (Colorado) | Secondary |
| Provider Name | Richard C Gamuac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174576037 PECOS PAC ID: 3173566676 Enrollment ID: I20050606000943 |
| Provider Name | Grace N Nweke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346209384 PECOS PAC ID: 1456371491 Enrollment ID: I20051205000897 |
| Provider Name | Jodi Ann Obirek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881969574 PECOS PAC ID: 2264850494 Enrollment ID: I20200918002602 |
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