| Sun Life Family Health Center, Inc. | |
|
23 S Mcnab Pkwy San Manuel AZ 85631-1156 | |
| (520) 385-2234 | |
| (520) 381-3209 |
| Full Name | Sun Life Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 S Mcnab Pkwy, San Manuel, Arizona |
| Authorized Official Name and Position | Travis Robinette (CEO) |
| 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 Family Health Center, Inc. Po Box 10097 Casa Grande AZ 85130-0020 Ph: (520) 836-3446 | Sun Life Family Health Center, Inc. 23 S Mcnab Pkwy San Manuel AZ 85631-1156 Ph: (520) 385-2234 |
| NPI Number | 1467666206 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/03/2017 |
| Medicare PECOS PAC ID | 9335032275 |
|---|---|
| Medicare Enrollment ID | O20080516000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467666206 | NPI | - | NPPES |
| ZFQ61788 | Other | MEDICARE | |
| AZ04943 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC-357 (Arizona) | Primary |