Organization
SUNRISE COMMUNITY HEALTH
Active
Parent organization
SUNRISE COMMUNITY HEALTH
Other names
Bond Children's Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE COMMUNITY HEALTH
Authorized official
CATHY WOLFF (CFO)
(970) 346-2546
Entity
Organization
Contact information
Practice address
111 E 26TH ST, GREELEY, CO 80631-7300
(970) 702-2675
(970) 350-4645
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 702-2675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679116875
—
CO
Enumeration date
10/21/2019
Last updated
05/29/2023
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