| Sunset Community Health Center Inc | |
|
10425 Williams Street Wellton AZ 85356 | |
| (928) 785-3256 | |
| (928) 785-3258 |
| Full Name | Sunset Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10425 Williams Street, Wellton, Arizona |
| Authorized Official Name and Position | David Rogers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9288198999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Community Health Center Inc 2060 W 24th St Yuma AZ 85364-6123 Ph: (928) 819-8999 | Sunset Community Health Center Inc 10425 Williams Street Wellton AZ 85356 Ph: (928) 785-3256 |
| NPI Number | 1245344316 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 4587569843 |
|---|---|
| Medicare Enrollment ID | O20080211000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245344316 | NPI | - | NPPES |
| OTC0814 | Other | AZ | LICENSE |
| 433061 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OTC0814 (Arizona) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |