Organization
SUNSET COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISANA MEDINA (CREDENTIALING COORDINATOR)
(928) 819-8834
Entity
Organization
Contact information
Practice address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8999
(928) 539-5579
Mailing address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934889
—
AZ
Enumeration date
06/05/2024
Last updated
06/05/2024
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