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
1	1223G0001X	General Practice Dentistry
2	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

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

General Provider Information

NPI Number	:	1366812166
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	:	675 S AVENUE B BLDG A
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-2749
Country	:	US
Telephone Number	:	928-539-3140
Fax Number	:	928-782-5296

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN LEONARD
Credential	:
Telephone Number	:	928-819-8999

Provider Enumeration Date	:	10/06/2015
Last Update Date	:	06/19/2026

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