Active NPI
Sunrise Clinics
Doing business as Sunrise Clinics - Eagle Nest Elementary SBHC
- Federally Qualified Health Center (FQHC)
- Eagle Nest, NM
National Provider Identifier
1417630922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SUNRISE CLINICS
- Doing business as
- Sunrise Clinics - Eagle Nest Elementary SBHC
- Practice address
- 225 E Lake Ave
Eagle Nest, NM 87718-8087 - Phone
- (585) 377-6991
- Fax
- (877) 651-0289
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Organization subpart
- Yes
- Parent organization
- SUNRISE CLINICS
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
225 E Lake Ave
Eagle Nest, NM 87718-8087
Mailing address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93778562 | Medicaid | NM |
Other names 1
- Sunrise Clinics - Eagle Nest Elementary SBHC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.sanchez@sunrisnm.org | Direct | Sunrise Clinics |
National Provider Directory
National Provider Directory- Tax ID family
- Sunrise Clinics
- Part of
- Sunrise Clinics
Other organizations with this tax ID 28
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sunrise Clinics - Santa Rosa High SBHC
- Federally Qualified Health Center (FQHC)
- Santa Rosa, NM
- NPI 1013629526
-
dba Sunrise Clinics - Tucumcari Elementary SBHC
- Student Health Clinic/Center
- Tucumcari, NM
- NPI 1043093297
-
dba Sunrise Clinics - WLV Louis Armijo SBHC
- Student Health Clinic/Center
- Las Vegas, NM
- NPI 1083497101
-
- Federally Qualified Health Center (FQHC)
- Belen, NM
- NPI 1083537831
-
dba Sunrise Clinics - Santa Rosa Elementary SBHC
- Federally Qualified Health Center (FQHC)
- Santa Rosa, NM
- NPI 1093498396
-
dba Sunrise Clinics - WLV Valley Elem/Middle SBHC
- Federally Qualified Health Center (FQHC)
- Ribera, NM
- NPI 1134902372
-
dba Sunrise Clinics Moreno Vally High
- Federally Qualified Health Center (FQHC)
- Angel Fire, NM
- NPI 1134903115
-
dba Sunrise Clinics - Tony Serna Jr Elementary SBHC
- Federally Qualified Health Center (FQHC)
- Las Vegas, NM
- NPI 1144003344
-
dba Sunrise Clinics - WLV Middle/High SBHC
- Student Health Clinic/Center
- Las Vegas, NM
- NPI 1194408625
-
dba Sunrise Clinics - Tucumcari Middle SBHC
- Federally Qualified Health Center (FQHC)
- Tucumcari, NM
- NPI 1194508325
-
dba Sunrise Clinics - Tucumcari - Main
- Federally Qualified Health Center (FQHC)
- Tucumcari, NM
- NPI 1235932989
-
dba Sunrise Clinics - Questa Middle/High SBHC
- Federally Qualified Health Center (FQHC)
- Questa, NM
- NPI 1265115489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1417630922",
"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": "225 E LAKE AVE",
"city": "EAGLE NEST",
"state": "NM",
"postal_code": "877188087",
"telephone_number": "585-377-6991",
"fax_number": "877-651-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE CLINICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNRISE CLINICS",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93778562",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.sanchez@sunrisnm.org",
"affiliation": "Y",
"endpointDescription": "Credentialing",
"affiliationName": "Sunrise Clinics",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "117 Camino De Vida Ste 300",
"city": "Santa Rosa",
"state": "NM",
"country_code": "US",
"postal_code": "884352267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sunrise Clinics - Eagle Nest Elementary SBHC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eagle Nest, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.