Sunset Community Health Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in San Luis, AZ. Organization (NPI-2).
NPI number1043324932
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1043324932
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunset Community Health Center INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – | |
| 208D00000X | General Practice | OTC0558 | AZ |
Practice location
815 E Cesar Chavez BlvdSan Luis, AZ 85349
Phone 928-627-3822 · Fax 928-539-5579
Mailing address
2060 W 24th StYuma, AZ 85364-6123
Phone 928-819-8999 · Fax 928-539-5579
Authorized official
David Rogers
Executive Director
9288198999
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