MEDICARE: SUN LIFE FAMILY 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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1396275459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN LIFE FAMILY HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 96395
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6395
Country	:	US
Telephone Number	:	520-836-3446
Fax Number	:	520-836-8807

Provider Business Practice Location Address
First Line	:	655 S DOBSON RD STE 201
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-5669
Country	:	US
Telephone Number	:	520-836-3446
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXUECUTIVE OFFICER
Name	:	TRAVIS ROBINETTE
Credential	:
Telephone Number	:	520-836-3446

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	06/17/2026

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