| Sunrise Medical Group, Pc | |
|
552 Highway 54 Santa Rosa NM 88435-2215 | |
| (505) 433-5572 | |
| (877) 651-1259 |
| Full Name | Sunrise Medical Group, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 552 Highway 54, Santa Rosa, New Mexico |
| Authorized Official Name and Position | Jessica Sanchez (CREDENTIALING) |
| Authorized Official Contact | 5754724311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Group, Pc 552 Highway 54 Santa Rosa NM 88435-2215 Ph: (505) 433-5572 | Sunrise Medical Group, Pc 552 Highway 54 Santa Rosa NM 88435-2215 Ph: (505) 433-5572 |
| NPI Number | 1124107446 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124107446 | NPI | - | NPPES |
| 600521016 | Other | MEDICARE GROUP ID | |
| 00074686 | Medicaid | NM | |
| 1124107446 | Other | NM | GROUP NPI |
| 6794 | Other | NM | NM HEALTH DEPT. NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6794 (New Mexico) | Primary |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 S 5th St, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 | |
Santa Rosa Lion Care Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S 3rd St, Santa Rosa, NM 88435 Phone: 505-426-2262 Fax: 505-454-1473 | |
Guadalupe County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida, 100, Santa Rosa, NM 88435 Phone: 575-472-3417 Fax: 575-472-4587 | |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Camino De Vida, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 | |
Santa Rosa Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Lake Dr, Santa Rosa, NM 88435 Phone: 505-472-4311 Fax: 505-472-4313 |