NPIMap

Organization Active NPI

Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
National Provider Identifier
1902005382
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SUNRISE COMMUNITY HEALTH
Practice address
302 3Rd St SE Ste 150
Loveland, CO 80537-6419
Phone
(970) 669-4855
Fax
(970) 669-7389
NPI assigned
Jul 16, 2007
Organization subpart
Yes
Parent organization
SUNRISE COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Lisa Aspromonte
Title
Credentialing Specialist
Phone
(970) 350-4602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X CO Primary

Addresses

Primary practice location

302 3Rd St SE Ste 150
Loveland, CO 80537-6419

Mailing address

2930 11TH Ave
Evans, CO 80620-1011

Other identifiers 1

IdentifierTypeStateIssuer
05638895MedicaidCO

Other names 2

  • Loveland Community Health Clinic Doing business as
  • South Loveland Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040211000378 CO Part A Provider - Federally Qualified Health Center (FQHC) 0648164780 Practice locations: Loveland, CO
O20040329001864 CO Part B Supplier - Clinic/Group Practice 0648164780 Receives reassigned benefits from 70 practitioners
9 other NPIs on this enrollment
Practice locations: Windsor, CO; Loveland, CO; Greeley, CO; Evans, CO

Federally qualified health center certification: CCN 061863

Legal name
SUNRISE COMMUNITY HEALTH
Doing business as
LOVELAND COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 28, 1998
Last certification
Aug 28, 1998
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1973 in CO
Enrollment address
302 3Rd St SE
Loveland, CO 80537-6419

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Catherine Stacey Individual Corporate DirectorBoard Member Feb 25, 2008
Mitzi M Moran Individual Corporate Officer Aug 1, 2006
Ivan Contreras-Vazquez Individual Corporate DirectorBoard Member Jan 8, 2008
Libby Goode-Grasmick Individual Corporate OfficerChief Operating Officer Nov 30, 2014
W-2 Managing EmployeeChief Operating Officer Nov 30, 2014 100%
Mary C Wolff Individual Corporate OfficerChief Financial Officer Mar 9, 2023
W-2 Managing EmployeeChief Financial Officer Mar 9, 2023
Mark Wallace Individual Corporate DirectorBoard Member Director Mar 5, 2005
Gina Payne Individual Corporate DirectorBoard Member Jan 9, 2013
Juan Gomez Individual Corporate DirectorBoard Member Mar 5, 2012

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunrise North Range ClinicGreeley, CO, CCN 061910 Federally qualified health center Operational/Managerial Control Mar 28, 2005

National Provider Directory

National Provider Directory
Part of
Sunrise Community Health

Locations

1006 A St
Greeley, CO 80631
Phone (970) 352-0048

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 6

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

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1902005382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 3RD ST SE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376419",
            "telephone_number": "970-669-4855",
            "fax_number": "970-669-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE COMMUNITY HEALTH",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "ASPROMONTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "970-350-4602"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05638895",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loveland Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Loveland Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.