Organization · Type 2 NPI

Sun River Health Inc

Federally Qualified Health Center (FQHC) · Patchogue, NY

NPI number 1508261892 Active

Practice location

501 N Ocean Ave
Patchogue, NY 11772-1758

Call (631) 866-2030 Map

Fax (631) 866-2033

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...

7 other providers at this address

NPI record

NPI: 1508261892
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

<unavail>
Hrhcare Patchogue · other name
Hrhcare Patchogue · other name

Authorized official

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

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About NPI 1508261892

Sun River Health Inc's National Provider Identifier is 1508261892, issued on Oct 29, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Patchogue, NY. The record was last updated on Mar 13, 2022.