Organization
SUNBRIDGE BRASWELL ENTERPRISES, INC.
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Sierra Vista
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
WILLIAM A. MATHIES (PRRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
3455 HIGHLAND AVE, HIGHLAND, CA 92346-2214
(909) 862-6454
(909) 862-6474
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18562K
—
CA
Enumeration date
05/26/2006
Last updated
07/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us