Healthcare Provider Details

I. General information

NPI: 1730278326
Provider Name (Legal Business Name): SUNSET COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N SOMERTON AVE
SOMERTON AZ
85350
US

IV. Provider business mailing address

2060 W 24TH STREET
YUMA AZ
85364
US

V. Phone/Fax

Practice location:
  • Phone: 928-627-2051
  • Fax: 928-539-5579
Mailing address:
  • Phone: 928-819-8999
  • Fax: 928-539-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROGERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 928-819-8999