| Sun Life Center For Children | |
|
1856 E Florence Blvd Casa Grande AZ 85122-5303 | |
| (520) 381-0380 | |
| (520) 836-1826 |
| Full Name | Sun Life Center For Children |
|---|---|
| Speciality | Clinic/Center |
| Location | 1856 E Florence Blvd, Casa Grande, Arizona |
| Authorized Official Name and Position | Travis Robinette (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5208363446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Life Center For Children Po Box 10097 Casa Grande AZ 85130-0020 Ph: (520) 836-3446 | Sun Life Center For Children 1856 E Florence Blvd Casa Grande AZ 85122-5303 Ph: (520) 381-0380 |
| NPI Number | 1417286568 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 08/03/2017 |
| Medicare PECOS PAC ID | 9335032275 |
|---|---|
| Medicare Enrollment ID | O20100205000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417286568 | NPI | - | NPPES |
| 03-1881 | Other | AZ | MEDICARE |
| AZ13154 | Medicaid | AZ | |
| ZFQ31815 | Other | AZ | MEDICARE |
| BL-09-55271 | Other | AZ | CITY BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC4752 (Arizona) | Primary |
Pinnacle Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1968 N Peart Rd, Suite 1, Casa Grande, AZ 85122 Phone: 520-836-6636 Fax: 520-836-6846 | |
Horizon Health And Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W 2nd St, Casa Grande, AZ 85122 Phone: 520-836-3633 | |
Pinal Hispanic Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 N Trekell Rd Ste 101, Casa Grande, AZ 85122 Phone: 520-284-5436 Fax: 520-836-5436 | |
Center For Family Medicine Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Cottonwood Ln Ste 2, Casa Grande, AZ 85122 Phone: 520-426-1400 Fax: 520-426-1268 | |
Horizon Health And Wellness, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 W 2nd St, Casa Grande, AZ 85122 Phone: 520-836-1688 | |
Millennium Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-2090 | |
Regional Care Physicians Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1780 E Florence Blvd Ste 102, Casa Grande, AZ 85222 Phone: 520-381-6300 |