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Sunrise Clinics

Clinic/Center, Federally Qualified Health Center (FQHC) in Santa Rosa, NM. Organization (NPI-2).

NPI number1164055927
StatusActive
Last updated in NPPESMar 11, 2026

Details

NPI
1164055927
Entity type
Organization (NPI-2)
Legal business name
Sunrise Clinics
Organization subpart
No
Enumeration date
Feb 19, 2020
Certification date
Mar 11, 2026
Last updated
Mar 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
363L00000X Nurse Practitioner––
207Q00000X Family Medicine––
104100000X Social Worker––
101YP2500X Counselor, Professional––
261QP2300X Clinic/Center, Primary Care––

Practice location

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267

Phone 575-472-4311 · Fax 877-651-0289

Mailing address

117 Camino De Vida
Santa Rosa, NM 88435-2267

Phone 575-472-4311

Other practice locations

166 Hospital Dr
Raton, NM 87740-2002

Phone 575-445-3626 · Fax 877-592-0809

2020 7th St
Las Vegas, NM 87701-4958

Phone 505-434-0119 · Fax 877-553-1272

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Phone 505-434-0119 · Fax 877-553-1272

220 S 3rd St
Tucumcari, NM 88401-2802

Phone 575-461-8631 · Fax 888-708-0683

Authorized official

Randal W Brown
Ceo
5754724311

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Other Federally Qualified Health Center (FQHC) providers in Santa Rosa, NM

All 5 Federally Qualified Health Center (FQHC) providers in Santa Rosa · All 129 providers in Santa Rosa

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