Provider Demographics
NPI:1639831985
Name:SUN LIFE FAMILY HEALTH CENTER INC
Entity type:Organization
Organization Name:SUN LIFE FAMILY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-381-0383
Mailing Address - Street 1:PO BOX 10097
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85130-0020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1864 E FLORENCE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-5504
Practice Address - Country:US
Practice Address - Phone:520-836-3446
Practice Address - Fax:520-836-8807
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUN LIFE FAMILY HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)