Healthcare Provider Details

I. General information

NPI: 1407779531
Provider Name (Legal Business Name): SUNRISE COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 11TH AVE
EVANS CO
80620-1011
US

IV. Provider business mailing address

5311 W. 20TH STREET SUITE A
GREELEY CO
80634
US

V. Phone/Fax

Practice location:
  • Phone: 970-350-4602
  • Fax: 970-350-4692
Mailing address:
  • Phone: 970-350-4602
  • Fax: 970-350-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: LISA ASPROMONTE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 970-350-4602