Provider Demographics
NPI:1568412658
Name:SUN HEALTH CORPORATION
Entity Type:Organization
Organization Name:SUN HEALTH CORPORATION
Other - Org Name:SUN HEALTH NEUROSURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:SELLNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-544-5068
Mailing Address - Street 1:10615 W THUNDERBIRD BLVD
Mailing Address - Street 2:SUITE B200
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3033
Mailing Address - Country:US
Mailing Address - Phone:623-972-3001
Mailing Address - Fax:623-933-3045
Practice Address - Street 1:10615 W THUNDERBIRD BLVD
Practice Address - Street 2:SUITE B200
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3033
Practice Address - Country:US
Practice Address - Phone:623-972-3001
Practice Address - Fax:623-933-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center