Organization
SUNRISE COMMUNITY HEALTH
Active
Other names
Monfort Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WOLFF (CFO)
(970) 346-2546
Entity
Organization
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638283
—
CO
Enumeration date
07/07/2005
Last updated
05/29/2023
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