Organization · Type 2 NPI
Sun Life Family Health Center, Inc.
Federally Qualified Health Center (FQHC) · San Manuel, AZ
NPI number
1467666206
Active
Practice location
23 S Mcnab Pkwy
San Manuel, AZ 85631-1156
Fax (520) 381-3209
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | OTC-357 (AZ) |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Boru Nale, MDFamily Medicine Physician San Manuel, AZ NPI 1497949226
- Cynthia Dawn Diaz, FNP-CFamily Nurse Practitioner San Manuel, AZ NPI 1679128466
- Jacy Kathleen Godsey, APRN-CNPNurse Practitioner San Manuel, AZ NPI 1376039057
- Naomi Arlene Duffett, NPFamily Nurse Practitioner San Manuel, AZ NPI 1235808205
- Sharan Wieberdink, FNPFamily Nurse Practitioner San Manuel, AZ NPI 1467807131
About NPI 1467666206
Sun Life Family Health Center, Inc.'s National Provider Identifier is 1467666206, issued on May 10, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Manuel, AZ. The record was last updated on Aug 3, 2017.