Organization · Type 2 NPI

Sunrise Clinics

Federally Qualified Health Center (FQHC) · Vaughn, NM

NPI number 1275245284 Active

Practice location

101 E 4th Street
Vaughn, NM 88353

Call (575) 584-2283 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...

NPI record

NPI: 1275245284
Entity type: Organization (Type 2)
Issued: Dec 21, 2022
Last updated: Dec 21, 2022
Status: Active
Subpart: Yes of Sunrise Clinics - Vaughn SBHC

Other names

Sunrise Clinics - Vaughn SBHC · doing business as

Authorized official

Jessica Sanchez, DIRECTOR
Human Resources
(575) 472-4311

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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 1275245284

Sunrise Clinics's National Provider Identifier is 1275245284, issued on Dec 21, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Vaughn, NM. The record was last updated on Dec 21, 2022.