Healthcare Provider Details

I. General information

NPI: 1396795712
Provider Name (Legal Business Name): SUN HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 W THUNDERBIRD BLVD
SUN CITY AZ
85351-3004
US

IV. Provider business mailing address

10401 W THUNDERBIRD BLVD
SUN CITY AZ
85351-3004
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-5346
  • Fax: 623-876-5684
Mailing address:
  • Phone: 623-876-5346
  • Fax: 623-876-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM T. SELLNER
Title or Position: VP, CFO
Credential:
Phone: 623-544-5068