Sunrise Clinics
Clinic/Center, Federally Qualified Health Center (FQHC) in Las Vegas, NM. Organization (NPI-2).
NPI number1548043755
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1548043755
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Clinics
- Organization subpart
- Yes
- Enumeration date
- Aug 14, 2023
- Certification date
- Aug 10, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Sunrise Clinics - Wlv Union St Elm Sbhc (Doing Business As)
Practice location
421 Union StreetLas Vegas, NM 87701
Phone 505-426-2599 · Fax 877-553-1272
Mailing address
117 Camino De Vida Ste 300Santa Rosa, NM 88435-2267
Phone 575-472-4311 · Fax 877-651-0289
Authorized official
Jessica Sanchez
Director Of Hr
5754724311
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