Organization Active NPI

Sunrise Clinics

Doing business as Sunrise Clinics - WLV Union St Elm SBHC

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
National Provider Identifier
1548043755
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SUNRISE CLINICS
Doing business as
Sunrise Clinics - WLV Union St Elm SBHC
Practice address
421 Union Street
Las Vegas, NM 87701
Phone
(505) 426-2599
Fax
(877) 553-1272
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNRISE CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • Sunrise Clinics - WLV Union St Elm SBHC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct Sunrise Clinics

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2290167Sunrise Clinic School-Based Clinic421 Union Street, Las Vegas, NM 87701Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory
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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1548043755",
    "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": "421 UNION STREET",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-426-2599",
            "fax_number": "877-553-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE CLINICS",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 - WLV Union St Elm SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.