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SUN RIVER HEALTH INC
NPI 1407910557
Clinic/Center - Federally Qualified Health Center (FQHC) in Monticello, NY

Active since December 21, 2006CLIA 33D2063273 · Waiver
23 LAKEWOOD AVE, HUDSON RIVER HEALTHCARE, INC., MONTICELLO, NY 12701(845) 794-2010(845) 794-4569 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2022, May 2, 2018 (2 updates tracked since 2018).

About Sun River Health Inc NPPES

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

SUN RIVER HEALTH INC (NPI 1407910557) is a healthcare organization registered as a federally qualified health center (fqhc) in Monticello, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Adam Lipton, Vp Info/practice Management Systems, as its authorized official.

NPPES Registry Identity

NPI1407910557
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN RIVER HEALTH INC
Location Address23 LAKEWOOD AVE, HUDSON RIVER HEALTHCARE, INC.Monticello, NY 12701-2021
Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (914) 734-8800 · Fax (914) 734-8786
Phone(845) 794-2010
Fax(845) 794-4569
Organization SubpartYes
Authorized OfficialAdam LiptonVp Info/practice Management Systems · (914) 384-2375
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 13, 20222 updates tracked since enumeration
NPPES CertifiedMarch 13, 2022
✔ NPI 1407910557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase ManagementTaxonomy 251B00000X
23 LAKEWOOD AVE, Monticello, NY 12701
Open in Google Maps ↗

Other Identifiers 1

Medicaid00473038NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2063273

Sun River Health Monticello · Monticello, NY
Active · expires Mar 26, 2027
CLIA Number33D2063273
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 8, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Amanda Ascher
Laboratory Phone(845) 794-2010
Laboratory LocationSun River Health Monticello23 Lakewood Avenue, Monticello, NY 12701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KHORSHEDA BEGUM ALI D.O.
Obstetrics & Gynecology (Obstetrics)
23 LAKEWOOD AVE, HUDSON RIVER HEALTHCARE, INC.
MONTICELLO, NY 12701
Sullivan County (845) 794-2010
MS. LYNN GUISER M.S., R.D.
Dietitian, Registered
23 LAKEWOOD AVE
MONTICELLO, NY 12701
Sullivan County (844) 400-1975
MISS OLENA YURIYIVNA PROKOPOV FNP
Nurse Practitioner (Family)
23 LAKEWOOD AVE
MONTICELLO, NY 12701
Sullivan County (845) 794-2010
MRS. RACHEL E HALE CNM
Midwife
23 LAKEWOOD AVE
MONTICELLO, NY 12701
Sullivan County (845) 794-2010
MRS. NORMA O'BRIEN FNP
Nurse Practitioner (Family)
23 LAKEWOOD AVE, HUDSON RIVER HEALTHCARE, INC.
MONTICELLO, NY 12701
Sullivan County (845) 794-2010
KATHERINE SEIBERT M.D.
Internal Medicine
23 LAKEWOOD AVE, HUDSON RIVER HEALTHCARE
MONTICELLO, NY 12701
Sullivan County (845) 794-2010

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 1407910557. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Sun River Health Inc located?

Sun River Health Inc is located at 23 Lakewood Ave Hudson River Healthcare, Inc., Monticello, NY 12701. The listed phone number is (845) 794-2010.

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.

Does Sun River Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2063273) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sun River Health Inc was last updated on March 13, 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.