Provider Demographics
NPI:1255008652
Name:DAYSPRING HEALTH INTERACTIVE INC
Entity Type:Organization
Organization Name:DAYSPRING HEALTH INTERACTIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULIT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-862-7271
Mailing Address - Street 1:463 W FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0291
Mailing Address - Country:US
Mailing Address - Phone:559-862-7271
Mailing Address - Fax:559-554-2433
Practice Address - Street 1:463 W FREMONT AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0291
Practice Address - Country:US
Practice Address - Phone:559-862-7271
Practice Address - Fax:559-554-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty