Organization
SUNRISE CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL W BROWN MD (CEO)
(575) 472-4311
Entity
Organization
Contact information
Practice address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Mailing address
117 CAMINO DE VIDA, SANTA ROSA, NM 88435-2267
(575) 472-4311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93778562
—
NM
Enumeration date
02/19/2020
Last updated
03/11/2026
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