| Sun Integrated Care | |
|
11035 N 19th Ave Phoenix AZ 85029-4816 | |
| (602) 671-1700 | |
| Not Available |
| Full Name | Sun Integrated Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11035 N 19th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | David Towns (OWNER/CEO) |
| Authorized Official Contact | 6025890500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Integrated Care 11047 N 19th Ave Phoenix AZ 85029-4816 Ph: (602) 589-0500 | Sun Integrated Care 11035 N 19th Ave Phoenix AZ 85029-4816 Ph: (602) 671-1700 |
| NPI Number | 1578234829 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 08/28/2026 |
| Certification Date | 08/28/2026 |
| Medicare PECOS PAC ID | 1052709888 |
|---|---|
| Medicare Enrollment ID | O20211028001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578234829 | NPI | - | NPPES |
| Provider Name | John R Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215047766 PECOS PAC ID: 6800816083 Enrollment ID: I20051202000219 |
| Provider Name | Leanette Henagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811355118 PECOS PAC ID: 8224456439 Enrollment ID: I20200918001762 |
| Provider Name | Alica Mccalup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538047212 PECOS PAC ID: 7012491772 Enrollment ID: I20260319003870 |
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