Organization
SUNRISE CLINICS
Active
Parent organization
SUNRISE CLINICS
Other names
Sunrise Clinics Moreno Vally High
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE CLINICS
Authorized official
JESSICA SANCHEZ (DIRECTOR OF HR)
(575) 472-4311
Entity
Organization
Contact information
Practice address
56 CAMINO GRANDE, ANGEL FIRE, NM 87710
(575) 377-3100
(877) 651-0289
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93778562
—
NM
Enumeration date
08/22/2023
Last updated
08/22/2023
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