Organization
SUNSET COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROGERS (EXECUTIVE DIRECTOR)
(928) 819-8999
Entity
Organization
Contact information
Practice address
10425 WILLIAMS STREET, WELLTON, AZ 85356
(928) 785-3256
(928) 785-3258
Mailing address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8999
(928) 539-5579
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
OTC0814
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433061
—
AZ
01
—
OTC0814
LICENSE
AZ
Enumeration date
08/18/2006
Last updated
10/09/2020
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