Sunrise Clinics
Organization Active NPI Federally Qualified Health Center (FQHC) · Las Vegas, NM
NPI 1548043755 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1548043755
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SUNRISE CLINICS
- Practice address
- 421 Union Street
Las Vegas, NM 87701 - Phone
- (505) 426-2599
- Fax
- (877) 553-1272
- NPI assigned
- Aug 14, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- SUNRISE CLINICS
Authorized official
- Name
- Jessica Sanchez
- Title
- Director of HR
- Phone
- (575) 472-4311
Corporate family (same tax ID) 28
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2290167 | Sunrise Clinic School-Based Clinic | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
- Tax ID family
- Sunrise Clinics
- Part of
- Sunrise Clinics
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
421 Union Street
Las Vegas, NM 87701
Mailing address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93778562 | Medicaid | NM |
Other names
- Sunrise Clinics - WLV Union St Elm SBHC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.sanchez@sunrisnm.org | Direct | Sunrise Clinics |
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All providers in Las Vegas, NM · Federally Qualified Health Center (FQHC) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.