| Sunshine Community Health Center, Inc | |
|
950 E Bogard Rd Ste 233 Wasilla AK 99654-7185 | |
| (907) 733-2273 | |
| Not Available |
| Full Name | Sunshine Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 E Bogard Rd Ste 233, Wasilla, Alaska |
| Authorized Official Name and Position | Melody West (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9077339230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Community Health Center, Inc Hc 89 Box 8190 Talkeetna AK 99676-9701 Ph: (907) 733-4616 | Sunshine Community Health Center, Inc 950 E Bogard Rd Ste 233 Wasilla AK 99654-7185 Ph: (907) 733-2273 |
| NPI Number | 1932712882 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 3173415635 |
|---|---|
| Medicare Enrollment ID | O20201019002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932712882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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