Active NPI
Sunset Community Health Center Inc
- Federally Qualified Health Center (FQHC)
- Yuma, AZ
National Provider Identifier
1346067147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SUNSET COMMUNITY HEALTH CENTER INC
- Practice address
- 2060 W 24TH St
Yuma, AZ 85364-6123 - Phone
- (928) 819-8999
- Fax
- (928) 539-5579
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luisana Medina
- Title
- Credentialing Coordinator
- Phone
- (928) 819-8834
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2060 W 24TH St
Yuma, AZ 85364-6123
Mailing address
2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8834
Other practice location 1
675 S Avenue B Bldg B
Yuma, AZ 85364-2749
Phone (928) 819-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 934889 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Sunset Community Health Ctr
Other organizations with this tax ID 19
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Yuma, AZ
- NPI 1225461627
-
- Pediatrics Physician
- Yuma, AZ
- NPI 1245663996
-
- Pharmacy
- Yuma, AZ
- NPI 1407832181
-
- General Practice Dentistry
- Yuma, AZ
- NPI 1427482165
-
- General Practice Dentistry
- Wellton, AZ
- NPI 1447331806
-
- General Practice Dentistry
- San Luis, AZ
- NPI 1508947946
-
- Pediatrics Physician
- Somerton, AZ
- NPI 1528491263
-
- Pediatrics Physician
- San Luis, AZ
- NPI 1548693286
-
- General Practice Dentistry
- Yuma, AZ
- NPI 1700356292
-
- General Practice Dentistry
- Somerton, AZ
- NPI 1730278326
-
- Pediatrics Physician
- Yuma, AZ
- NPI 1750714259
-
- Community/Retail Pharmacy
- Yuma, AZ
- NPI 1780798678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1346067147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646123",
"telephone_number": "928-819-8834",
"fax_number": "928-539-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646123",
"telephone_number": "928-819-8999",
"fax_number": "928-539-5579"
}
],
"practiceLocations": [
{
"address_1": "675 S Avenue B Bldg B",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853642749",
"country_code": "US",
"telephone_number": "928-819-8999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUNSET COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "LUISANA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "928-819-8834"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"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": "934889",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
- Sunset Community Health Center
- Sunset Community Health Center
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Sunset Community Health Center Inc
- Shawn Youngtae Sunu, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.