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NPI Code Detail

MEDICARE: SUNSET COMMUNITY HEALTH CENTER INC

MEDICARE: SUNSET COMMUNITY HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)
21223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134986193
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSET COMMUNITY HEALTH CENTER INC
Provider Business Mailing Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number :
Provider Business Practice Location Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number :
Authorized Official
Title or Position : CEO
Name : JONATHAN LEONARD
Credential :
Telephone Number : 928-819-8807
Provider Enumeration Date : 03/05/2024
Last Update Date : 06/19/2026

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Directions to “SUNSET COMMUNITY HEALTH CENTER INC ” Practice Location

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