Organization
SUN LIFE FAMILY HEALTH CENTER, INC.
Active
Other names
Sun Life Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ROBINETTE (CEO)
(520) 836-3446
Entity
Organization
Contact information
Practice address
23 S MCNAB PKWY, SAN MANUEL, AZ 85631-1156
(520) 385-2234
(520) 381-3209
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
OTC-357
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AZ04943
—
AZ
01
—
ZFQ61788
MEDICARE
—
Enumeration date
05/10/2007
Last updated
08/03/2017
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