Organization
SUN LIFE FAMILY HEALTH CENTER, INC
Active
Other names
Sun Life Center for Children
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ROBINETTE (CHIEF EXECUTIVE OFFICER)
(520) 836-3446
Entity
Organization
Contact information
Practice address
1856 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5303
(520) 381-0380
(520) 836-1826
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC4752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-1881
MEDICARE
AZ
05
—
AZ13154
—
AZ
01
—
BL-09-55271
CITY BUSINESS LICENSE
AZ
01
—
ZFQ31815
MEDICARE
AZ
Enumeration date
12/21/2009
Last updated
08/03/2017
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