Organization · Type 2 NPI

Sun River Health Inc

Federally Qualified Health Center (FQHC) · Shirley, NY

NPI number 1417352709 Active

Practice location

550 Montauk Hwy
Shirley, NY 11967-2114

Call (631) 490-3040 Map

Fax (631) 490-3055

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...

27 other providers at this address

NPI record

NPI: 1417352709
Entity type: Organization (Type 2)
Issued: Oct 29, 2014
Last updated: Mar 13, 2022
Status: Active
Subpart: Yes of Sun River Health Inc

Other names

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HRHC Shirley · other name
HRHC Shirley · other name

Authorized official

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

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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 1417352709

Sun River Health Inc's National Provider Identifier is 1417352709, issued on Oct 29, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shirley, NY. The record was last updated on Mar 13, 2022.