Sunrise Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Evans, CO
NPI 1811295264 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1811295264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SUNRISE COMMUNITY HEALTH
- Practice address
- 1400 37TH St
Evans, CO 80620-1906 - Phone
- (970) 353-9403
- NPI assigned
- Mar 9, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- SUNRISE COMMUNITY HEALTH
Authorized official
- Name
- Lisa Aspromonte
- Title
- Credentialing Specialist
- Phone
- (970) 350-4602
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 21
Practitioners 9
-
Alyse Friedel, PA-C
-
Michelle Laporte Jackson, PA-C
-
Justin Matthew Palmer, PA-C
-
Ryan John Supon, PA-C
-
Madeline Wallace, PA-C
-
Maria Meyers, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329001864 | CO | Part B Supplier - Clinic/Group Practice | 0648164780 |
Receives reassigned benefits from 70 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Windsor, CO; Loveland, CO; Greeley, CO; Evans, CO |
National Provider Directory
- Tax ID family
- Sunrise Community Health
- Part of
- Sunrise Community Health
Locations
1400 37th St
Evans, CO 80620
Phone (970) 348-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1400 37TH St
Evans, CO 80620-1906
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16386761 | Medicaid | CO |
Other names
- Kid's Care Clinic
- Sunrise Centennial Children's Clinic
Other providers in Evans, CO
- Sunrise Community Health
- Sunrise Community Health
- Sunrise Community Health
- Sunrise Community Health
- Sunrise Community Health
- Sunrise Community Health
- Sunrise Community Health
- Paulette Tarnasky
- The Gardens Care Homes LLC
- Hoa Vinh Tran
All providers in Evans, CO · Federally Qualified Health Center (FQHC) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.