SUN LIFE FAMILY HEALTH CENTER-FLORENCE – NPI #1902278252
Clinic/Center

SUN LIFE FAMILY HEALTH CENTER-FLORENCE is an AHC clinic located in FLORENCE, AZ. NPPES has assigned the NPI number 1902278252 to SUN LIFE FAMILY HEALTH CENTER-FLORENCE on October 27, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUN LIFE FAMILY HEALTH CENTER-FLORENCE” is a dba name, the actual legal business name for this organization is SUN LIFE FAMILY HEALTH CENTER, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Dec 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUN LIFE FAMILY HEALTH CENTER-FLORENCE below.

NPI Profile for
SUN LIFE FAMILY HEALTH CENTER, INC.

NPI Number
1902278252
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUN LIFE FAMILY HEALTH CENTER, INC.
Doing Business As (dba): SUN LIFE FAMILY HEALTH CENTER-FLORENCE
Primary location
174 W HIGHWAY 287
FLORENCE, AZ 85132
Phone: (520) 868-5811 Fax: (520) 868-1223
Mailing address
PO BOX 10097
CASA GRANDE, AZ 85130-0020
Phone: (520) 836-3446 Fax:
Organization Subpart
No
Authorized Official
TRAVIS ROBINETTE
CHIEF EXECUTIVE OFFICER
Phone: (520) 836-3446
Updated
Certification Date
Dec 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.