Organization
SUN RIVER HEALTH INC
Active
Parent organization
SUN RIVER HEALTH INC
Other names
Brightpoint Health Part 822-4 Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN RIVER HEALTH INC
Authorized official
ADAM K. LIPTON (VP INFO/PRACTICE MGMT SYSTEMS)
(914) 384-2375
Entity
Organization
Contact information
Practice address
2400 LINDEN BOULEVARD, BRIGHTPOINT HEALTH PART 822-4 OUTPATIENT SERVICES, BROOKLYN, NY 11208-4830
(718) 257-5800
(718) 649-7040
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(914) 734-8800
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5901200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
01
—
W38731
GROUP MEDICARE
NY
Enumeration date
09/07/2018
Last updated
03/14/2022
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