NPIMap

Organization Active NPI

Sun Life Family Health Center, Inc.

  • Clinic Pharmacy
  • Maricopa, AZ
National Provider Identifier
1104290022
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
Y006439 Issued in AZ
Legal business name
SUN LIFE FAMILY HEALTH CENTER, INC.
Practice address
44572 W Bowlin Rd
Maricopa, AZ 85138-4558
Phone
(520) 568-2245
Fax
(520) 568-2316
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Bartsch
Title
Director of Pharmacy/Ao
Phone
(520) 381-0383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Y006439 AZ Primary

Addresses

Primary practice location

44572 W Bowlin Rd
Maricopa, AZ 85138-4558

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other names 1

  • Sun Life Family Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Life Family Health CNT15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1104290022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44572 W BOWLIN RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384558",
            "telephone_number": "520-568-2245",
            "fax_number": "520-568-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN LIFE FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "BARTSCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY/AO",
        "authorized_official_telephone_number": "520-381-0383"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AZ",
            "license": "Y006439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Life Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.