Organization · Type 2 NPI

Sun River Health Inc

Federally Qualified Health Center (FQHC) · Bronx, NY

NPI number 1083197719 Active

Practice location

2510 Westchester Avenue, Westchester Square Health Center
Bronx, NY 10461-3585

Call (855) 681-8700 Map

Fax (718) 299-1420

Mailing address

PO Box 5036
White Plains, NY 10602-5036

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	5901200R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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NPI record

NPI: 1083197719
Entity type: Organization (Type 2)
Issued: Sep 10, 2018
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Sun River Health Inc

Other names

<unavail>
Westchester Square Health Center · other name
Westchester Square Health Center · other name

Authorized official

Emma E. McKinney
Credentialing Supervisor
(845) 745-3611

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083197719

Sun River Health Inc's National Provider Identifier is 1083197719, issued on Sep 10, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bronx, NY. The record was last updated on Mar 14, 2022.