Organization
SUNRISE COMMUNITY HEALTH
Active
Parent organization
SUNRISE COMMUNITY HEALTH
Other names
Sunrise Family Dental
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
1006 A ST, GREELEY, CO 80631-2021
(970) 353-9403
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84404868
—
CO
Enumeration date
03/03/2011
Last updated
05/29/2023
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