Organization
SUN RIVER HEALTH INC
Active
Parent organization
SUN RIVER HEALTH INC
Other names
HRHCare Huntington Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN RIVER HEALTH INC
Authorized official
ADAM LIPTON (VP INFO/PRACTICE MGMT SYSTEMS)
(914) 384-2375
Entity
Organization
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 760-7746
(631) 760-7748
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(914) 734-8800
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
01
—
W38731
MEDICARE
NY
Enumeration date
06/14/2018
Last updated
03/14/2022
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