Provider Demographics
NPI:1578515110
Name:SUN HEALTH CORPORATION
Entity Type:Organization
Organization Name:SUN HEALTH CORPORATION
Other - Org Name:SUN HEALTH DEL E. WEBB HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-214-4001
Mailing Address - Street 1:PO BOX 29892
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9892
Mailing Address - Country:US
Mailing Address - Phone:623-214-4004
Mailing Address - Fax:
Practice Address - Street 1:14502 W MEEKER BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5282
Practice Address - Country:US
Practice Address - Phone:623-214-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH0168282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ770000001000OtherTMG
AZAZ0201090OtherBCBSAZ
AZIZ0082OtherHEALTH NET WEBB
AZF01388OtherPHOENIX HEALTH PLAN
AZ025305Medicaid
AZ030093Medicare PIN
AZIZ0082OtherHEALTH NET WEBB