SUN LIFE FAMILY HEALTH CENTER
NPI 1184838930
Clinic/Center - Federally Qualified Health Center (FQHC) in Mammoth, AZ

Active since May 10, 2007
110 MAIN STREET, MAMMOTH, AZ 85623(520) 487-0322(520) 487-2463 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sun Life Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN LIFE FAMILY HEALTH CENTER (NPI 1184838930) is a healthcare organization registered as a federally qualified health center (fqhc) in Mammoth, Arizona and active in the NPI registry since May 2007. The organization lists Travis Robinette, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1184838930
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN LIFE FAMILY HEALTH CENTER, INC.
Location Address110 MAIN STREETMammoth, AZ 85623
Mailing AddressPo Box 10097Casa Grande, AZ 85130-0020 · (520) 836-3446 · Fax (520) 836-8807
Fax(520) 487-2463
Organization SubpartNo
Authorized OfficialTravis RobinetteChief Executive Officer · (520) 836-3446
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 3, 2017
NPI 1184838930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in AZ · OTC-3754
110 MAIN STREET, Mammoth, AZ 85623

Other Names 1

Doing Business AsSun Life Family Health Center

Other Identifiers 2

Medicare ID-Type UnspecifiedFQ61788
Medicare OSCAR/certification031828AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun Life Family Health Center, Inc.'s NPI number?

The NPI number for Sun Life Family Health Center, Inc. is 1184838930. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Sun Life Family Health Center.

Where is Sun Life Family Health Center, Inc. located?

Sun Life Family Health Center, Inc. is located at 110 Main Street, Mammoth, AZ 85623. The listed phone number is (520) 487-0322.

What is Sun Life Family Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Sun Life Family Health Center, Inc. was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.