Healthcare Provider Details

I. General information

NPI: 1033364138
Provider Name (Legal Business Name): SUNSHINE COMMUNITY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34300 S TALKEETNA SPUR
TALKEETNA AK
99676-9709
US

IV. Provider business mailing address

PO BOX 787
TALKEETNA AK
99676-0787
US

V. Phone/Fax

Practice location:
  • Phone: 907-733-2273
  • Fax:
Mailing address:
  • Phone: 907-733-2273
  • Fax: 907-733-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SIMPSON
Title or Position: CREDENTAILING SPECIALIST
Credential:
Phone: 907-733-2273