Active NPI
Sunshine Community Health Center Inc
- Federally Qualified Health Center (FQHC)
- Willow, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 77895
- 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, 2026
- 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
- Joshua Erin Gilmore
- Title
- Ceo
- Phone
- (907) 733-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029931 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
- Federally Qualified Health Center (FQHC)
- Talkeetna, AK
- NPI 1922071117
3173415635
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Talkeetna, AK
- NPI 1922071117
O20040329000630
-
- Federally Qualified Health Center (FQHC)
- Wasilla, AK
- NPI 1932712882
O20040329000630
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Burgener | Corporate Director | Jul 28, 2009 | |
| Mary Gunderson | Corporate Director | Aug 27, 2017 | |
| Amanda Simpson | W-2 Managing Employee | Feb 28, 2023 | |
| Pamala Potter | Corporate Director | Feb 23, 2021 | |
| Mary Middleton | Corporate Director | Aug 28, 2018 | |
| Margot Jones | Corporate Director | Jun 25, 2019 | |
| Donna Crane | W-2 Managing Employee | Oct 4, 2022 | |
| Melitta White | Corporate Director | Jul 31, 2018 | |
| Wilfred Was | Corporate Director | Jun 30, 2020 | |
| Joshua Gilmore | Corporate Officer | Aug 22, 2022 | |
| Mabel Quilliam | Corporate Director | Sep 24, 2019 | |
| Michael Von Ah | Corporate Director | 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.
-
- Clinical Social Worker
- Wasilla, AK
- NPI 1972546968
-
- Family Nurse Practitioner
- Fairbanks, AK
- NPI 1770146698
-
- Family Medicine Physician
- Lawrenceville, IL
- NPI 1245566181
-
- Family Medicine Physician
- Medford, OR
- NPI 1679532501
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
- Johnson's LTD,. Inc. (Alaska Quality Builders)
- Jose Primo N Anzilotti (Heart of Willow Medical Clinic)
- Northbound Physical Therapy, LLC
- Alexandria Camille Palmer
- Lisa Rene Schooler-Nuss
- Sunshine Community Health Center, Inc (Sunshine Communith Health Willow Dental Clinic)
- Sunshine Community Health Center, Inc. (Sunshine Community Health Center Pharmacy - Willow)
- Telebehavioral Medicine Associates Inc.
- Upper Su Valley Care Coordination
- Willow Creek Assisted Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.