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Organization
SUN HEALTH CORPORATION
Active
Organization
SUN HEALTH CORPORATION
Active
Other names
Sun Health Surprise Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T. SELLNER (V.P C.F.O.)
(623) 544-5068
Entity
Organization
Contact information
Practice address
15468 N. CIVIC CENTER DRIVE, SURPRISE, AZ 85374
(623) 584-2917
(623) 584-2945
Mailing address
PO BOX 1278, ATTN: MINDY OGDEN, CPCS, CPMSM, SUN CITY, AZ 85372-1278
(623) 544-5075
(623) 544-5093
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0425950
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
06/14/2006
Last updated
03/21/2008
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