CHURCH AVENUE CLINIC
NPI 1295218196
Clinic/Center - Federally Qualified Health Center (FQHC) in Brooklyn, NY

Active since September 07, 2018
2412 CHURCH AVENUE, CHURCH AVENUE CLINIC, BROOKLYN, NY 11226(855) 681-8700(718) 299-1420 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Church Avenue Clinic NPPES

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

CHURCH AVENUE CLINIC (NPI 1295218196) is a healthcare organization registered as a federally qualified health center (fqhc) in Brooklyn, New York and active in the NPI registry since September 2018. The organization lists Adam K. Lipton, Vp Info/practice Mgmt Systems, as its authorized official.

NPPES Registry Identity

NPI1295218196
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN RIVER HEALTH INC
Location Address2412 CHURCH AVENUE, CHURCH AVENUE CLINICBrooklyn, NY 11226-4005
Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (914) 734-8800 · Fax (914) 734-8786
Fax(718) 299-1420
Organization SubpartYes
Authorized OfficialAdam K. LiptonVp Info/practice Mgmt Systems · (914) 384-2375
Enumeration DateSeptember 7, 2018
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1295218196 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 NY · 5901200R
2412 CHURCH AVENUE, Brooklyn, NY 11226

Other Names 1

Other NameChurch Avenue Clinic

Other Identifiers 2

Medicaid00473038NY
OtherW38731NY · Group Medicare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2412 CHURCH AVENUE
BROOKLYN, NY 11226

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 River Health Inc's NPI number?

The NPI number for Sun River Health Inc is 1295218196. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is also known as Church Avenue Clinic.

Where is Sun River Health Inc located?

Sun River Health Inc is located at 2412 Church Avenue Church Avenue Clinic, Brooklyn, NY 11226. The listed phone number is (855) 681-8700.

What is Sun River Health 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 River Health Inc was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.