Sunrise Clinics

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUNRISE CLINICS

Doing business as

Sunrise Clinics Moreno Vally High

Practice address

56 Camino Grande
Angel Fire, NM 87710

Phone

(575) 377-3100

Fax

(877) 651-0289

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNRISE CLINICSAs reported in NPPES

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

Authorized official

Name

Jessica Sanchez

Title

Director of HR

Phone

(575) 472-4311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Clinics Moreno Vally High Doing business as

Tax ID family

Sunrise Clinics29 organizations share this tax ID, including this one

Part of

Sunrise Clinics

Other organizations with this tax ID 28

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

• Sunrise Clinics

  dba Sunrise Clinics - Santa Rosa High SBHC

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, NM
  • NPI 1013629526
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Tucumcari Elementary SBHC

  • Student Health Clinic/Center
  • Tucumcari, NM
  • NPI 1043093297
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - WLV Louis Armijo SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1083497101
  NPD tax ID
• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Belen, NM
  • NPI 1083537831
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Santa Rosa Elementary SBHC

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, NM
  • NPI 1093498396
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - WLV Valley Elem/Middle SBHC

  • Federally Qualified Health Center (FQHC)
  • Ribera, NM
  • NPI 1134902372
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Tony Serna Jr Elementary SBHC

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1144003344
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Tucumcari Middle SBHC

  • Federally Qualified Health Center (FQHC)
  • Tucumcari, NM
  • NPI 1194508325
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Tucumcari - Main

  • Federally Qualified Health Center (FQHC)
  • Tucumcari, NM
  • NPI 1235932989
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Questa Middle/High SBHC

  • Federally Qualified Health Center (FQHC)
  • Questa, NM
  • NPI 1265115489
  NPD tax ID
• Sunrise Clinics

  dba Sunrise Clinics - Vaughn SBHC

  • Federally Qualified Health Center (FQHC)
  • Vaughn, NM
  • NPI 1275245284
  NPD tax ID

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1134903115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CAMINO GRANDE",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "87710",
            "telephone_number": "575-377-3100",
            "fax_number": "877-651-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE CLINICS",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "575-472-4311"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93778562",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Clinics Moreno Vally High",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moreno Valley High School
• Janet S Oliver, LPCC
• Presbyterian Healthcare Services (Moreno Valley Healthcare Clinic)
• South Central Colfax County Special Hospital District (Moreno Valley Healthcare Clinic)
• South Central Colfax County Special Hospital District (Moreno Valley Urgent Care @ Angel Fire Resort)
• Taos Sports Medicine Serices LLC (Angel Fire Physical Therapy)
• The Longevity Chiropractic Center
• Ultimed Red River, Inc. (ultiMED Angel Fire)
• Margaret Vanantwerp, CNP
• Village of Angel Fire (Angel Fire EMS)

• Federally Qualified Health Center (FQHC) in Angel Fire, NM
• Providers in Angel Fire, NM by specialty
• Federally Qualified Health Center (FQHC) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.