Organization · Type 2 NPI

Sun River Health Inc

Federally Qualified Health Center (FQHC) · Nyack, NY

NPI number 1205288750 Active

Practice location

84 N Highland Ave
Nyack, NY 10960-1831

Call (845) 770-9980 Map

Fax (845) 765-9377

Mailing address

PO Box 5036
White Plains, NY 10602-5036

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	5901200R (NY)

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

Another provider at this address

Jackeline GuthrieLicensed Practical Nurse Nyack, NY NPI 1720973878

NPI record

NPI: 1205288750
Entity type: Organization (Type 2)
Issued: Jul 8, 2016
Last updated: Mar 13, 2022
Status: Active
Subpart: Yes of Sun River Health Inc

Other names

<unavail>
Hrhcare Nyack · other name
Hrhcare Nyack · other name

Authorized official

Adam Lipton
VP Info/practice MGMT Systems
(914) 384-2375

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 1205288750

Sun River Health Inc's National Provider Identifier is 1205288750, issued on Jul 8, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Nyack, NY. The record was last updated on Mar 13, 2022.