Healthcare Provider Details

I. General information

NPI: 1487165759
Provider Name (Legal Business Name): SUNRISE COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 3RD ST SE STE 150
LOVELAND CO
80537-6419
US

IV. Provider business mailing address

2930 11TH AVE
EVANS CO
80620-1011
US

V. Phone/Fax

Practice location:
  • Phone: 970-461-8942
  • Fax: 970-292-1538
Mailing address:
  • Phone: 970-461-8942
  • Fax: 970-292-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateCO

VIII. Authorized Official

Name: LISA ASPROMONTE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 370-350-4602