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Sunrise Clinics

Organization Active NPI Federally Qualified Health Center (FQHC) · Santa Rosa, NM

NPI 1093498396 · NPPES record last updated Aug 11, 2023

Key facts

NPI
1093498396
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SUNRISE CLINICS
Practice address
658 S 5TH St
Santa Rosa, NM 88435-2430
Phone
(575) 472-7747
Fax
(877) 651-0289
NPI assigned
Aug 11, 2023
Organization subpart
Yes
Parent organization (as reported)
SUNRISE CLINICS

Authorized official

Name
Jessica Sanchez
Title
Director of Human Resources
Phone
(575) 472-4311

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2290209Sunrise Clinics School-Based Clinic
658 South 5TH Street, Santa Rosa, NM 88435		Certificate of waiverSep 20, 2027

National Provider Directory

Tax ID family
Sunrise Clinics (29 organizations share this tax ID)
Part of
Sunrise Clinics

Locations

658 S 5th St
Santa Rosa, NM 88435
Phone (575) 472-7747

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

658 S 5TH St
Santa Rosa, NM 88435-2430

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other identifiers

IdentifierTypeStateIssuer
93778562MedicaidNM

Other names

  • Sunrise Clinics - Santa Rosa Elementary SBHC Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct

Other providers in Santa Rosa, NM

All providers in Santa Rosa, NM · Federally Qualified Health Center (FQHC) in New Mexico

Sources for this page

Verify at the official NPI Registry.