Healthcare Provider Details

I. General information

NPI: 1871764597
Provider Name (Legal Business Name): SUN HEALTH URGENT CARE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13950 W MEEKER BLVD
SUN CITY WEST AZ
85375-4423
US

IV. Provider business mailing address

PO BOX 1278 ATTN: MINDY OGDEN, CPCS, CPMSM
SUN CITY AZ
85372-1278
US

V. Phone/Fax

Practice location:
  • Phone: 623-544-5075
  • Fax: 623-544-5093
Mailing address:
  • Phone: 623-544-5075
  • Fax: 623-544-5093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM T SELLNER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 623-876-6616