Provider Demographics
NPI:1598715963
Name:SUN HEALTH CORPORATION
Entity Type:Organization
Organization Name:SUN HEALTH CORPORATION
Other - Org Name:SUN HEALTH OBSTETRICS & GYNECOLOGY
Other - Org Type:Other Name
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 1:14418 W MEEKER BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5292
Mailing Address - Country:US
Mailing Address - Phone:623-214-4400
Mailing Address - Fax:623-214-4157
Practice Address - Street 1:14418 W MEEKER BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5292
Practice Address - Country:US
Practice Address - Phone:623-214-4400
Practice Address - Fax:623-214-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center