MEDICARE: SUN HEALTH CORPORATION

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
1	208600000X	Surgery Physician	32357	AZ

General Provider Information

NPI Number	:	1811907314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 1278
Second Line	:	ATTN: MINDY OGDEN, CPCS, CPMSM
City	:	SUN CITY
State	:	AZ
Zip	:	85372-1278
Country	:	US
Telephone Number	:	623-544-5075
Fax Number	:	623-544-5093

Provider Business Practice Location Address
First Line	:	13188 N 103RD DR
Second Line	:	SUITE 206
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3064
Country	:	US
Telephone Number	:	623-974-7854
Fax Number	:	623-933-3045

Authorized Official
Title or Position	:	VP, CFO
Name	:	WILLIAM T SELLNER
Credential	:
Telephone Number	:	623-544-5068

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/21/2008

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Directions to “SUN HEALTH CORPORATION ” Practice Location

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