Organization
SUNRISE CLINICS
Active
Parent organization
SUNRISE CLINICS - VAUGHN SBHC
Other names
Sunrise Clinics - Vaughn SBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE CLINICS - VAUGHN SBHC
Authorized official
JESSICA SANCHEZ DIRECTOR (HUMAN RESOURCES)
(575) 472-4311
Entity
Organization
Contact information
Practice address
101 E 4TH STREET, VAUGHN, NM 88353
(575) 584-2283
(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
12/21/2022
Last updated
12/21/2022
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