Organization
SUN HEALTH CORPORATION
Active
Other names
Sun Health Surprise Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T. SELLNER (V.P C.F.O.)
(623) 544-5068
Entity
Organization
Contact information
Practice address
15468 N. CIVIC CENTER DRIVE, SURPRISE, AZ 85374
(623) 584-2917
(623) 584-2945
Mailing address
PO BOX 1278, ATTN: MINDY OGDEN, CPCS, CPMSM, SUN CITY, AZ 85372-1278
(623) 544-5075
(623) 544-5093
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0425950
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
06/14/2006
Last updated
03/21/2008
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