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NPI Code Detail

MEDICARE: SUN COUNTRY HEALTHCARE NETWORK

MEDICARE: SUN COUNTRY HEALTHCARE NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1447316567
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN COUNTRY HEALTHCARE NETWORK
Provider Business Mailing Address
First Line : 2226 WYOMING BLVD NE # 298
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2226 WYOMING BLVD NE # 298
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2606
Country : US
Telephone Number : 812-449-7228
Fax Number :
Authorized Official
Title or Position : DIRECTOR MARKETING AND CONTRACTS
Name : JANICE LYNN STAMPS
Credential :
Telephone Number : 812-449-7228
Provider Enumeration Date : 01/01/2007
Last Update Date : 08/22/2020

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Directions to “SUN COUNTRY HEALTHCARE NETWORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.