Organization
SUNRISE CLINICS
Active
Parent organization
SUNRISE CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE CLINICS
Authorized official
JESSICA SANCHEZ CREDENTIALING (HUMAN RESOURCES)
(575) 472-4311
Entity
Organization
Contact information
Practice address
1619 W DELGADO AVE, BELEN, NM 87002-2805
(505) 966-1300
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
1041S0200X
School Social Worker
—
—
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93778562
—
NM
Enumeration date
07/30/2026
Last updated
07/30/2026
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