Organization · Type 2 NPI

Sunrise Clinics

Federally Qualified Health Center (FQHC) · Santa Rosa, NM

NPI number 1093498396 Active

Practice location

658 S 5th St
Santa Rosa, NM 88435-2430

Call (575) 472-7747 Map

Fax (877) 651-0289

Mailing address

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Nicole Montoya, CHWCommunity Health Worker Santa Rosa, NM NPI 1700622263

Other federally qualified health center (fqhc) providers in Santa Rosa

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NPI record

NPI: 1093498396
Entity type: Organization (Type 2)
Issued: Aug 11, 2023
Last updated: Aug 11, 2023
Status: Active
Subpart: Yes of Sunrise Clinics

Other names

Sunrise Clinics - Santa Rosa Elementary SBHC · doing business as

Authorized official

Jessica Sanchez
Director of Human Resources
(575) 472-4311

Verify this record

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 1093498396

Sunrise Clinics's National Provider Identifier is 1093498396, issued on Aug 11, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Santa Rosa, NM. The record was last updated on Aug 11, 2023.