Organization
SUNSHINE COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY PALERMO (CEO)
(907) 733-2273
Entity
Organization
Contact information
Practice address
24091 W LONG LAKE RD, WILLOW, AK 99688-9999
(907) 495-4100
(907) 733-1735
Mailing address
HC 89 BOX 8190, TALKEETNA, AK 99676-9701
(907) 733-2273
(907) 733-1735
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
77895
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029931
—
AK
Enumeration date
03/26/2007
Last updated
07/25/2014
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