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 (CHIEF EXECUTIVE OFFICER)
(520) 836-3446
Entity
Organization
Contact information
Practice address
205 N STUART BLVD, ELOY, AZ 85131-2507
(520) 466-7883
(520) 466-3946
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
258
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AZ04288
—
AZ
01
—
ZFQ31813
MEDICARE PTAN
—
Enumeration date
05/04/2007
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