Organization Active NPI

Sunshine Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Willow, AK
National Provider Identifier
1699892307
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
77895 Issued in AK
Legal business name
SUNSHINE COMMUNITY HEALTH CENTER INC
Practice address
24091 W Long Lake Rd
Willow, AK 99688-9999
Phone
(907) 495-4100
Fax
(907) 733-1735
NPI assigned
Mar 26, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Joshua Erin Gilmore
Title
Ceo
Phone
(907) 733-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 77895 AK Primary

Addresses

Primary practice location

24091 W Long Lake Rd
Willow, AK 99688-9999

Mailing address

34300 S Talkeetna Spur
Talkeetna, AK 99676-9709
Phone (907) 733-2273

Other identifiers 1

IdentifierTypeStateIssuer
1029931MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040329000630 AK Part B Supplier - Clinic/Group Practice 3173415635 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Talkeetna, AK; Willow, AK
O20080304000186 AK Part A Provider - Federally Qualified Health Center (FQHC) 3173415635 Practice locations: Willow, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699892307. Details of each certification follow.

Federally qualified health center certification: CCN 021834

Legal name
SUNSHINE COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 4, 2008
Last certification
Apr 4, 2008
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1986 in AK
Enrollment address
24091 W Long Lake Rd
Willow, AK 99688-9999

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Burgener Individual Corporate Director Jul 28, 2009
Mary Gunderson Individual Corporate DirectorBoard Member Aug 27, 2017
Amanda Simpson Individual W-2 Managing EmployeeBilling a/R Specialist Feb 28, 2023
Pamala Potter Individual Corporate DirectorBoard Member Feb 23, 2021
Mary Middleton Individual Corporate DirectorBoard Member Aug 28, 2018
Margot Jones Individual Corporate DirectorBoard Member Jun 25, 2019
Donna Crane Individual W-2 Managing EmployeePFS Director Oct 4, 2022
Melitta White Individual Corporate DirectorBoard Member Jul 31, 2018
Wilfred Was Individual Corporate DirectorBoard Member Jun 30, 2020
Joshua Gilmore Individual Corporate OfficerCeo Aug 22, 2022
Mabel Quilliam Individual Corporate DirectorBoard Member Sep 24, 2019
Michael Von Ah Individual Corporate DirectorBoard Member Sep 25, 2018

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1699892307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34300 S TALKEETNA SPUR",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996769709",
            "telephone_number": "907-733-2273",
            "fax_number": "907-733-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24091 W LONG LAKE RD",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996889999",
            "telephone_number": "907-495-4100",
            "fax_number": "907-733-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-733-2273"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AK",
            "license": "77895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029931",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow, AK

Sources for this page

Verify at the official NPI Registry.